WorldWideScience

Sample records for integrating textual evidence

  1. Integrating Ontological Knowledge and Textual Evidence in Estimating Gene and Gene Product Similarity

    Energy Technology Data Exchange (ETDEWEB)

    Sanfilippo, Antonio P.; Posse, Christian; Gopalan, Banu; Tratz, Stephen C.; Gregory, Michelle L.

    2006-06-08

    With the rising influence of the Gene On-tology, new approaches have emerged where the similarity between genes or gene products is obtained by comparing Gene Ontology code annotations associ-ated with them. So far, these approaches have solely relied on the knowledge en-coded in the Gene Ontology and the gene annotations associated with the Gene On-tology database. The goal of this paper is to demonstrate that improvements to these approaches can be obtained by integrating textual evidence extracted from relevant biomedical literature.

  2. Aligning ontologies and integrating textual evidence for pathway analysis of microarray data

    Energy Technology Data Exchange (ETDEWEB)

    Gopalan, Banu; Posse, Christian; Sanfilippo, Antonio P.; Stenzel-Poore, Mary; Stevens, S.L.; Castano, Jose; Beagley, Nathaniel; Riensche, Roderick M.; Baddeley, Bob; Simon, R.P.; Pustejovsky, James

    2006-10-08

    Expression arrays are introducing a paradigmatic change in biology by shifting experimental approaches from single gene studies to genome-level analysis, monitoring the ex-pression levels of several thousands of genes in parallel. The massive amounts of data obtained from the microarray data needs to be integrated and interpreted to infer biological meaning within the context of information-rich pathways. In this paper, we present a methodology that integrates textual information with annotations from cross-referenced ontolo-gies to map genes to pathways in a semi-automated way. We illustrate this approach and compare it favorably to other tools by analyzing the gene expression changes underlying the biological phenomena related to stroke. Stroke is the third leading cause of death and a major disabler in the United States. Through years of study, researchers have amassed a significant knowledge base about stroke, and this knowledge, coupled with new technologies, is providing a wealth of new scientific opportunities. The potential for neu-roprotective stroke therapy is enormous. However, the roles of neurogenesis, angiogenesis, and other proliferative re-sponses in the recovery process following ischemia and the molecular mechanisms that lead to these processes still need to be uncovered. Improved annotation of genomic and pro-teomic data, including annotation of pathways in which genes and proteins are involved, is required to facilitate their interpretation and clinical application. While our approach is not aimed at replacing existing curated pathway databases, it reveals multiple hidden relationships that are not evident with the way these databases analyze functional groupings of genes from the Gene Ontology.

  3. An Integrated Textual Case-Based System A. Almu

    African Journals Online (AJOL)

    Almu: An Integrated Textual Case-Based System. 66. The semantic relationship in WordNet links the Four-. Part-Of-Speech of Nouns, Verbs, Adverbs and. Adjectives together to synonyms sets (Miller 1995). Therefore, the words or terms of the problem have to be tagged with their appropriate POS before passing them to the ...

  4. In Defence of the Textual Integrity of the Old English Resignation

    Directory of Open Access Journals (Sweden)

    Sobol Helena W.

    2015-03-01

    Full Text Available Bliss & Frantzen’s (1976 paper against the previously assumed textual integrity of Resignation has been a watershed in research upon the poem. Nearly all subsequent studies and editions have followed their theory, the sole dissenting view being expressed by Klinck (1987, 1992. The present paper offers fresh evidence for the textual unity of the poem. First examined are codicological issues, whether the state of the manuscript suggests that a folio might be missing. Next analysed are the spellings of Resignation and its phonology, here the paper discusses peculiarities which both differentiate Resignation from its manuscript context and connect the two hypothetical parts of the text. Then the paper looks at the assumed cut-off point at l.69 to see if it may provide any evidence for textual discontinuity. Finally the whole Resignation, seen as a coherent poem, is placed in the history of Old English literature, with special attention being paid to the traditions of devotional texts and the Old English elegies.

  5. Textual Harassment: A New Historicist Reappraisal of the Parol Evidence With Gender in Mind

    OpenAIRE

    Keren, Hila

    2004-01-01

    This year marks the four hundredth anniversary of the Parol Evidence Rule, the rule that dictates that the interpretation of a written contract should be determined solely according to its text and not influenced by prior contradictory external information. This article uses the occasion to offer a fresh interdisciplinary view of the Rule. The analysis presents a unique contribution to the heated debate regarding the desired levels of formalism and textualism in present-day contract law, by u...

  6. Integrating textual and model-based process descriptions for comprehensive process search

    NARCIS (Netherlands)

    Leopold, Henrik; van der Aa, Han; Pittke, Fabian; Raffel, Manuel; Mendling, Jan; Reijers, Hajo A.

    2016-01-01

    Documenting business processes using process models is common practice in many organizations. However, not all process information is best captured in process models. Hence, many organizations complement these models with textual descriptions that specify additional details. The problem with this

  7. Integration of relational and textual biomedical sources. A pilot experiment using a semi-automated method for logical schema acquisition.

    Science.gov (United States)

    García-Remesal, M; Maojo, V; Billhardt, H; Crespo, J

    2010-01-01

    Bringing together structured and text-based sources is an exciting challenge for biomedical informaticians, since most relevant biomedical sources belong to one of these categories. In this paper we evaluate the feasibility of integrating relational and text-based biomedical sources using: i) an original logical schema acquisition method for textual databases developed by the authors, and ii) OntoFusion, a system originally designed by the authors for the integration of relational sources. We conducted an integration experiment involving a test set of seven differently structured sources covering the domain of genetic diseases. We used our logical schema acquisition method to generate schemas for all textual sources. The sources were integrated using the methods and tools provided by OntoFusion. The integration was validated using a test set of 500 queries. A panel of experts answered a questionnaire to evaluate i) the quality of the extracted schemas, ii) the query processing performance of the integrated set of sources, and iii) the relevance of the retrieved results. The results of the survey show that our method extracts coherent and representative logical schemas. Experts' feedback on the performance of the integrated system and the relevance of the retrieved results was also positive. Regarding the validation of the integration, the system successfully provided correct results for all queries in the test set. The results of the experiment suggest that text-based sources including a logical schema can be regarded as equivalent to structured databases. Using our method, previous research and existing tools designed for the integration of structured databases can be reused - possibly subject to minor modifications - to integrate differently structured sources.

  8. Making sense of "alternative", "complementary", "unconventional" and "integrative" medicine: exploring the terms and meanings through a textual analysis.

    Science.gov (United States)

    Ng, Jeremy Y; Boon, Heather S; Thompson, Alison K; Whitehead, Cynthia R

    2016-05-20

    Medical pluralism has flourished throughout the Western world in spite of efforts to legitimize Western biomedical healthcare as "conventional medicine" and thereby relegate all non-physician-related forms of healthcare to an "other" category. These "other" practitioners have been referred to as "unconventional", "alternative" and "complementary", among other terms throughout the past half century. This study investigates the discourses surrounding the changes in the terms, and their meanings, used to describe unconventional medicine in North America. Terms identified by the literature as synonymous to unconventional medicine were searched using the Scopus database. A textual analysis following the method described by Kripendorff 2013 was subsequently performed on the five most highly-cited unconventional medicine-related peer-reviewed literature published between 1970 and 2013. Five commonly-used, unconventional medicine-related terms were identified. Authors using "complementary and alternative", "complementary", "alternative", or "unconventional" tended to define them by what they are not (e.g., therapies not taught/used in conventional medicine, therapy demands not met by conventional medicine, and therapies that lack research on safety, efficacy and effectiveness). Authors defined "integrated/integrative" medicine by what it is (e.g., a new model of healthcare, the combining of both conventional and unconventional therapies, accounting for the whole person, and preventative maintenance of health). Authors who defined terms by "what is not" stressed that the purpose of conducting research in this area was solely to create knowledge. Comparatively, authors who defined terms by "what is" sought to advocate for the evidence-based combination of unconventional and conventional medicines. Both author groups used scientific rhetoric to define unconventional medical practices. This emergence of two groups of authors who used two different sets of terms to refer to the

  9. Food and medicines in the Mediterranean tradition. A systematic analysis of the earliest extant body of textual evidence.

    Science.gov (United States)

    Touwaide, Alain; Appetiti, Emanuela

    2015-06-05

    that humans have long been in contact with them, something that the medical uses of these species confirm, as they are multiple and finely distinguished. A pilot analysis of archeological remains of medicines confirms that textual evidence corresponds to physical evidence, that is, to the practice of medicine. As a consequence, textual information can be accepted as reflecting actual practice. Although the pseudo-aphorism according to which food are medicines and medicines are food does not appear as such in the Hippocratic Collection, it aptly expresses a fundamental element of the Hippocratic approach to therapeutics, without being, however, a creation of neither Hippocrates nor his followers and the physicians who practiced a form of medicine in the way of Hippocrates. A vast majority of the core group of plant species used for the preparation of medicines were also consumed as foodstuff. Knowledge and use of these plants probably resulted from a long co-existence in the same environment and also from multiple experiences of trial and error over millennia, whose results accumulated over time and contributed to the formation of the Mediterranean medical tradition. Copyright © 2014 Elsevier Ireland Ltd. All rights reserved.

  10. Integrating query of relational and textual data in clinical databases: a case study.

    Science.gov (United States)

    Fisk, John M; Mutalik, Pradeep; Levin, Forrest W; Erdos, Joseph; Taylor, Caroline; Nadkarni, Prakash

    2003-01-01

    The authors designed and implemented a clinical data mart composed of an integrated information retrieval (IR) and relational database management system (RDBMS). Using commodity software, which supports interactive, attribute-centric text and relational searches, the mart houses 2.8 million documents that span a five-year period and supports basic IR features such as Boolean searches, stemming, and proximity and fuzzy searching. Results are relevance-ranked using either "total documents per patient" or "report type weighting." Non-curated medical text has a significant degree of malformation with respect to spelling and punctuation, which creates difficulties for text indexing and searching. Presently, the IR facilities of RDBMS packages lack the features necessary to handle such malformed text adequately. A robust IR+RDBMS system can be developed, but it requires integrating RDBMSs with third-party IR software. RDBMS vendors need to make their IR offerings more accessible to non-programmers.

  11. EXPERIENCIAS SIGNIFICATIVAS DE INTEGRACIÓN SOCIAL DE UNIVERSITARIOS MEDIANTE LA PRODUCCIÓN TEXTUAL DE RAP I SIGNIFICANT EXPERIENCES OF SOCIAL INTEGRATION OF UNIVERSITY STUDENTS BY TEXTUAL PRODUCTION OF RAP

    Directory of Open Access Journals (Sweden)

    Adriana María Pérez Cedeño

    2018-04-01

    Full Text Available Universities are beginning to promote policies aimed at eliminating discrimination, promoting spaces for community, social and educational participation. Therefore, the incorporation of college students to their academic discourse community is encouraged, since they are young people with a particular history and complex social life, which are included in different ways into the educational system. The overall purpose is to assess the intercultural resource "rap" in the academic practice of textual compositions by new students in the Extensión Región Centro- Sur of the Universidad de Oriente. In this qualitative research, the content analysis is used to account for the experiences of eight key informants interviewed, students of Industrial Engineering or Systems Engineering. It is intended to understand the reasons for the behavior of these students, analyzing both the thematic as the overall quality of writing, the reality in which they arise, and how they express their living experiences. The findings indicate that, despite the difficulties in the writing of texts: a students, in addition to reporting, are identified with this musical style, because its main purpose lies in provoking reactions, b the strategy allows to cater a heterogeneous population academically and culturally, c university students may recognize, as any artistic expression, musical text resulting from this interpretation, which has a social impact in a given group of persons. This strategy provides an opportunity to reflect on the process of integral development and deepens in the construction of a new model of society

  12. Exploring textual data

    CERN Document Server

    Lebart, Ludovic; Berry, Lisette

    1998-01-01

    Researchers in a number of disciplines deal with large text sets requiring both text management and text analysis. Faced with a large amount of textual data collected in marketing surveys, literary investigations, historical archives and documentary data bases, these researchers require assistance with organizing, describing and comparing texts. Exploring Textual Data demonstrates how exploratory multivariate statistical methods such as correspondence analysis and cluster analysis can be used to help investigate, assimilate and evaluate textual data. The main text does not contain any strictly mathematical demonstrations, making it accessible to a large audience. This book is very user-friendly with proofs abstracted in the appendices. Full definitions of concepts, implementations of procedures and rules for reading and interpreting results are fully explored. A succession of examples is intended to allow the reader to appreciate the variety of actual and potential applications and the complementary processin...

  13. Connecting textual segments

    DEFF Research Database (Denmark)

    Brügger, Niels

    2017-01-01

    history than just the years of the emergence of the web, the chapter traces the history of how segments of text have deliberately been connected to each other by the use of specific textual and media features, from clay tablets, manuscripts on parchment, and print, among others, to hyperlinks on stand......In “Connecting textual segments: A brief history of the web hyperlink” Niels Brügger investigates the history of one of the most fundamental features of the web: the hyperlink. Based on the argument that the web hyperlink is best understood if it is seen as another step in a much longer and broader...

  14. Artworks narrating a story: a modular framework for the integrated presentation of three-dimensional and textual contents

    OpenAIRE

    Callieri, Marco; Leoni, Chiara; Dellepiane, Matteo; Scopigno, Roberto

    2013-01-01

    The integrated presentation of a 3D model and a descriptive text which is strongly connected to the geometry (and, more in general, of multiple interconnected datasets of different nature) is still problematic. This is often solved by using plugins and/or resulting in poorly connected exploration tree (where one media is used as a "primary content", and the rest of the data are just used to enrich it). In this paper, we present a framework for the presentation, on the web platform, of multipl...

  15. Integrating Evidence Within and Across Evidence Streams Using Qualitative Methods

    Science.gov (United States)

    There is high demand in environmental health for adoption of a structured process that evaluates and integrates evidence while making decisions transparent. The Grading of Recommendations Assessment, Development and Evaluation (GRADE) framework holds promise to address this deman...

  16. Big Textual Data in Transportation

    DEFF Research Database (Denmark)

    Beheshti-Kashi, Samaneh; Buch, Rasmus Brødsgaard; Lachaize, Maxime

    2018-01-01

    applications have been converting to utilizable and meaningful insights. However, prior to this, the availability of textual sources relevant for logistics and transportation has to be examined. Accordingly, the identification of potential textual sources and their evaluation in terms of extraction barriers...

  17. La busqueda textual por computadora (Textual Search by Computer)

    Science.gov (United States)

    Davison, Ned J.

    1977-01-01

    Describes the use of the computer program EDIT for textual searches to locate a certain programmed word or word root. In the examples explained here, the vocabulary search is performed on poetry and allows examination of the metaphorical and conceptual poetic atmosphere achieved through word use. (Text is in Spanish.) (CHK)

  18. Neurocognitive capabilities modulate the integration of evidence in schizophrenia

    NARCIS (Netherlands)

    Eifler, Sarah; Rausch, Franziska; Schirmbeck, Frederike; Veckenstedt, Ruth; Englisch, Susanne; Meyer-Lindenberg, Andreas; Kirsch, Peter; Zink, Mathias

    2014-01-01

    Previous studies have demonstrated a cognitive bias in the integration of disconfirmatory evidence (BADE) in patients with schizophrenia. This bias has been associated with delusions. So far, it is unclear how the integration of evidence is associated with neurocognitive capabilities. In the current

  19. The Instructional Text like a Textual Genre

    Directory of Open Access Journals (Sweden)

    Adiane Fogali Marinello

    2011-07-01

    Full Text Available This article analyses the instructional text as a textual genre and is part of the research called Reading and text production from the textual genre perspective, done at Universidade de Caxias do Sul, Campus Universitário da Região dos Vinhedos. Firstly, some theoretical assumptions about textual genre are presented, then, the instructional text is characterized. After that an instructional text is analyzed and, finally, some activities related to reading and writing of the mentioned genre directed to High School and University students are suggested.

  20. Textual meaning and its place in a theory of language

    Directory of Open Access Journals (Sweden)

    Jeffries Lesley

    2015-06-01

    Full Text Available Following the development of a framework for critical stylistics (Jeffries 2010 and the explication of some of the theoretical assumptions behind this framework (Jeffries 2014a, 2014b, 2015a, 2015b, the present article attempts to put this framework into a larger theoretical context as a way to approach textual meaning. Using examples from the popular U.S. television show, The Big Bang Theory, I examine the evidence that there is a kind of textual meaning which can be distinguished from the core propositional meaning on the one hand and from contextual, interpersonal meaning on the other. The specific aim, to demonstrate a layer of meaning belonging to text specifically, is set within an argument which claims that progress in linguistics can better be served by adherence to a rigorous scientific discipline.

  1. Inventions on presenting textual items in Graphical User Interface

    OpenAIRE

    Mishra, Umakant

    2014-01-01

    Although a GUI largely replaces textual descriptions by graphical icons, the textual items are not completely removed. The textual items are inevitably used in window titles, message boxes, help items, menu items and popup items. Textual items are necessary for communicating messages that are beyond the limitation of graphical messages. However, it is necessary to harness the textual items on the graphical interface in such a way that they complement each other to produce the best effect. One...

  2. Reading comprehension and textual consciousness on primary school

    Directory of Open Access Journals (Sweden)

    Vera Wannmacher Pereira

    2014-03-01

    Full Text Available The difficulties on reading comprehension in the primary school are evidenced by several official exams applied. Given these statistics and the evidences obtained through academic research and observations on children’s performance during the school life, there is acknowledgment of the situation as a problem that requires further development and finding solutions. The Psycholinguistics is giving its contribution, especially regarding the role of linguistic consciousness on reading learning. Many studies have been conducted specifically focusing on phonological consciousness. Studies on syntactic consciousness are also found, although less than phonological ones. Regarding the role of textual consciousness, few initiatives considers the students of the primary school. This makes the author proposes as the heartland of this communication the textual consciousness with support predominantly on Gombert (1992, aiming to examine the relationship between this level of consciousness and learning to read. Based on recent studies (PEREIRA; SCLIAR-CABRAL, 2012, the author presents in this paper: a the analysis of the context of learning and teaching of reading; b a theoretical exposition about reading learning and textual consciousness; c the pedagogical referrals for education based on the interaction between these two topics; and d the development of reflections on the possibility of the proposed path contribute to the solution of the worrying problem on read learning by the primary schools students.

  3. Evidence on the Efficacy of Integrated Care

    DEFF Research Database (Denmark)

    Larsen, Torben

    to European health regions. Method Systematic review of the literature on clinical continuity as complemented by trials and surveys within this project. Preliminary results 1. Integrated home care (IHC) is the most promising approach to better clinical continuity from the point of view of cost...... million new patients per year in EU might benefit from IHC. 3. As IHC improves activities of daily living (ADL) which implicates long term savings in social care services the working hypothesis is that IHC is a health economic dominant intervention. This enables a meso-strategy of dissemination focusing......  Purpose The fragmented delivery of health and social services for large groups of patients with chronic conditions was put on the research agenda in 2002 by WHO. The FP7-IHC-project ( http://www.integratedhomecare.eu/ ) aims to develop a turn-key-solution for better clinical continuity...

  4. Integration and Task Allocation: Evidence from Patient Care.

    Science.gov (United States)

    David, Guy; Rawley, Evan; Polsky, Daniel

    2013-01-01

    Using the universe of patient transitions from inpatient hospital care to skilled nursing facilities and home health care in 2005, we show how integration eliminates task misallocation problems between organizations. We find that vertical integration allows hospitals to shift patient recovery tasks downstream to lower-cost organizations by discharging patients earlier (and in poorer health) and increasing post-hospitalization service intensity. While integration facilitates a shift in the allocation of tasks and resources, health outcomes either improved or were unaffected by integration on average. The evidence suggests that integration solves coordination problems that arise in market exchange through improvements in the allocation of tasks across care settings.

  5. Integration and Task Allocation: Evidence from Patient Care*

    Science.gov (United States)

    David, Guy; Rawley, Evan; Polsky, Daniel

    2013-01-01

    Using the universe of patient transitions from inpatient hospital care to skilled nursing facilities and home health care in 2005, we show how integration eliminates task misallocation problems between organizations. We find that vertical integration allows hospitals to shift patient recovery tasks downstream to lower-cost organizations by discharging patients earlier (and in poorer health) and increasing post-hospitalization service intensity. While integration facilitates a shift in the allocation of tasks and resources, health outcomes either improved or were unaffected by integration on average. The evidence suggests that integration solves coordination problems that arise in market exchange through improvements in the allocation of tasks across care settings. PMID:24415893

  6. Pictorial, Textual, and Picto-Textual Glosses in E-Reading: A Comparative Study

    Science.gov (United States)

    Shalmani, Hamed Babaie; Sabet, Masoud Khalili

    2010-01-01

    This research explored the effects of three types of multimedia glosses on the reading comprehension of learners in an EFL context. From among the three experimental groups under study, one received treatment on five academic reading passages through picto-textual glosses where both textual definitions and relevant images of words popped up, thus…

  7. Second Language Incidental Vocabulary Learning: The Effect of Online Textual, Pictorial, and Textual Pictorial Glosses

    Science.gov (United States)

    Shahrokni, Seyyed Abdollah

    2009-01-01

    This empirical study investigates the effect of online textual, pictorial, and textual pictorial glosses on the incidental vocabulary learning of 90 adult elementary Iranian EFL learners. The participants were selected from a pool of 140 volunteers based on their performance on an English placement test as well as a knowledge test of the target…

  8. FIA: An Open Forensic Integration Architecture for Composing Digital Evidence

    Science.gov (United States)

    Raghavan, Sriram; Clark, Andrew; Mohay, George

    The analysis and value of digital evidence in an investigation has been the domain of discourse in the digital forensic community for several years. While many works have considered different approaches to model digital evidence, a comprehensive understanding of the process of merging different evidence items recovered during a forensic analysis is still a distant dream. With the advent of modern technologies, pro-active measures are integral to keeping abreast of all forms of cyber crimes and attacks. This paper motivates the need to formalize the process of analyzing digital evidence from multiple sources simultaneously. In this paper, we present the forensic integration architecture (FIA) which provides a framework for abstracting the evidence source and storage format information from digital evidence and explores the concept of integrating evidence information from multiple sources. The FIA architecture identifies evidence information from multiple sources that enables an investigator to build theories to reconstruct the past. FIA is hierarchically composed of multiple layers and adopts a technology independent approach. FIA is also open and extensible making it simple to adapt to technological changes. We present a case study using a hypothetical car theft case to demonstrate the concepts and illustrate the value it brings into the field.

  9. Spatio-textual search on Spark

    OpenAIRE

    Kloster, Tord

    2017-01-01

    The amount of spatially aware data is growing at a rapid rate, and challenges both processing and organizing such data is in focus in the scientific world and the industry. But spatial data seldom exists alone, usually accompanied by some form of textual property. The challenges increase as we attempt to process the spatio-textual documents that are created, and the usage of Big Data platforms become a necessity. This paper provides an insight into different approaches on how to meet the spat...

  10. Protecting Digital Evidence Integrity by Using Smart Cards

    Science.gov (United States)

    Saleem, Shahzad; Popov, Oliver

    RFC 3227 provides general guidelines for digital evidence collection and archiving, while the International Organization on Computer Evidence offers guidelines for best practice in the digital forensic examination. In the light of these guidelines we will analyze integrity protection mechanism provided by EnCase and FTK which is mainly based on Message Digest Codes (MDCs). MDCs for integrity protection are not tamper proof, hence they can be forged. With the proposed model for protecting digital evidence integrity by using smart cards (PIDESC) that establishes a secure platform for digitally signing the MDC (in general for a whole range of cryptographic services) in combination with Public Key Cryptography (PKC), one can show that this weakness might be overcome.

  11. Textual Enhancement of Input: Issues and Possibilities

    Science.gov (United States)

    Han, ZhaoHong; Park, Eun Sung; Combs, Charles

    2008-01-01

    The input enhancement hypothesis proposed by Sharwood Smith (1991, 1993) has stimulated considerable research over the last 15 years. This article reviews the research on textual enhancement of input (TE), an area where the majority of input enhancement studies have aggregated. Methodological idiosyncrasies are the norm of this body of research.…

  12. Evidence-based integrative medicine in clinical veterinary oncology.

    Science.gov (United States)

    Raditic, Donna M; Bartges, Joseph W

    2014-09-01

    Integrative medicine is the combined use of complementary and alternative medicine with conventional or traditional Western medicine systems. The demand for integrative veterinary medicine is growing, but evidence-based research on its efficacy is limited. In veterinary clinical oncology, such research could be translated to human medicine, because veterinary patients with spontaneous tumors are valuable translational models for human cancers. An overview of specific herbs, botanics, dietary supplements, and acupuncture evaluated in dogs, in vitro canine cells, and other relevant species both in vivo and in vitro is presented for their potential use as integrative therapies in veterinary clinical oncology. Published by Elsevier Inc.

  13. Evidence-based music therapy practice: an integral understanding.

    Science.gov (United States)

    Abrams, Brian

    2010-01-01

    The American Music Therapy Association has recently put into action a plan called its Research Strategic Priority, with one of its central purposes to advance the music therapy field through research promoting Evidence-Based Practice of music therapy. The extant literature on music therapy practice, theory, and research conveys a range of very different perspectives on what may count as the "evidence" upon which practice is based. There is therefore a need to conceptualize evidence-based music therapy practice in a multifaceted, yet coherent and balanced way. The purpose of this paper is to illustrate a framework based upon four distinct epistemological perspectives on evidence-based music therapy practice that together represent an integral understanding.

  14. Joint Textual And Visual Cues For Retrieving Images Using Latent Semantic Indexing

    OpenAIRE

    Pecenovic, Zoran; Ayer, Serge; Vetterli, Martin

    2001-01-01

    In this article we present a novel approach of integrating textual and visual descriptors of images in a unified retrieval structure. The methodology, inspired from text retrieval and information filtering is based on Latent Semantic Indexing (LS1).

  15. Emotion models for textual emotion classification

    Science.gov (United States)

    Bruna, O.; Avetisyan, H.; Holub, J.

    2016-11-01

    This paper deals with textual emotion classification which gained attention in recent years. Emotion classification is used in user experience, product evaluation, national security, and tutoring applications. It attempts to detect the emotional content in the input text and based on different approaches establish what kind of emotional content is present, if any. Textual emotion classification is the most difficult to handle, since it relies mainly on linguistic resources and it introduces many challenges to assignment of text to emotion represented by a proper model. A crucial part of each emotion detector is emotion model. Focus of this paper is to introduce emotion models used for classification. Categorical and dimensional models of emotion are explained and some more advanced approaches are mentioned.

  16. Integrating research evidence and physical activity policy making

    DEFF Research Database (Denmark)

    Aro, Arja R.; Bertram, Maja; Hämäläinen, Riitta-Maija

    2016-01-01

    Evidence shows that regular physical activity is enhanced by supporting environment. Studies are needed to integrate research evidence into health enhancing, cross-sector physical activity (HEPA) policy making. This article presents the rationale, study design, measurement procedures...... and the initial results of the first phase of six European countries in a five-year research project (2011-2016), REsearch into POlicy to enhance Physical Activity (REPOPA). REPOPA is programmatic research; it consists of linked studies; the first phase studied the use of evidence in 21 policies in implementation...... to learn more in depth from the policy making process and carried out 86 qualitative stakeholder interviews. The second, ongoing phase builds on the central findings of the first phase in each country; it consists of two sets of interventions: game simulations to study cross-sector collaboration...

  17. Functional brain networks underlying detection and integration of disconfirmatory evidence.

    Science.gov (United States)

    Lavigne, Katie M; Metzak, Paul D; Woodward, Todd S

    2015-05-15

    Processing evidence that disconfirms a prior interpretation is a fundamental aspect of belief revision, and has clear social and clinical relevance. This complex cognitive process requires (at minimum) an alerting stage and an integration stage, and in the current functional magnetic resonance imaging (fMRI) study, we used multivariate analysis methodology on two datasets in an attempt to separate these sequentially-activated cognitive stages and link them to distinct functional brain networks. Thirty-nine healthy participants completed one of two versions of an evidence integration experiment involving rating two consecutive animal images, both of which consisted of two intact images of animal faces morphed together at different ratios (e.g., 70/30 bird/dolphin followed by 10/90 bird/dolphin). The two versions of the experiment differed primarily in terms of stimulus presentation and timing, which facilitated functional interpretation of brain networks based on differences in the hemodynamic response shapes between versions. The data were analyzed using constrained principal component analysis for fMRI (fMRI-CPCA), which allows distinct, simultaneously active task-based networks to be separated, and these were interpreted using both temporal (task-based hemodynamic response shapes) and spatial (dominant brain regions) information. Three networks showed increased activity during integration of disconfirmatory relative to confirmatory evidence: (1) a network involved in alerting to the requirement to revise an interpretation, identified as the salience network (dorsal anterior cingulate cortex and bilateral insula); (2) a sensorimotor response-related network (pre- and post-central gyri, supplementary motor area, and thalamus); and (3) an integration network involving rostral prefrontal, orbitofrontal and posterior parietal cortex. These three networks were staggered in their peak activity (alerting, responding, then integrating), but at certain time points (e

  18. Recognizing textual entailment models and applications

    CERN Document Server

    Dagan, Ido; Sammons, Mark

    2013-01-01

    In the last few years, a number of NLP researchers have developed and participated in the task of Recognizing Textual Entailment (RTE). This task encapsulates Natural Language Understanding capabilities within a very simple interface: recognizing when the meaning of a text snippet is contained in the meaning of a second piece of text. This simple abstraction of an exceedingly complex problem has broad appeal partly because it can be conceived also as a component in other NLP applications, from Machine Translation to Semantic Search to Information Extraction. It also avoids commitment to any sp

  19. Integrative Therapies and Pediatric Inflammatory Bowel Disease: The Current Evidence.

    Science.gov (United States)

    Misra, Sanghamitra M

    2014-08-25

    Inflammatory bowel disease (IBD) primarily describes two distinct chronic conditions with unknown etiology, ulcerative colitis (UC) and Crohn's disease (CD). UC is limited to the colon, while CD may involve any portion of the gastrointestinal tract from mouth to anus. These diseases exhibit a pattern of relapse and remission, and the disease processes are often painful and debilitating. Due to the chronic nature of IBD and the negative side effects of many of the conventional therapies, many patients and their families turn to complementary and alternative medicine (CAM) for symptom relief. This article focuses on the current available evidence behind CAM/integrative therapies for IBD.

  20. Integrating evidence-based interventions into client care plans.

    Science.gov (United States)

    Doran, Diane; Carryer, Jennifer; Paterson, Jane; Goering, Paula; Nagle, Lynn; Kushniruk, Andre; Bajnok, Irmajean; Clark, Carrie; Srivastava, Rani

    2009-01-01

    Within the mental health care system, there is an opportunity to improve patient safety and the overall quality of care by integrating clinical practice guidelines with the care planning process through the use of information technology. Electronic assessment tools such as the Resident Assessment Inventory - Mental Health (RAI-MH) are widely used to identify the health care needs and outcomes of clients. In this knowledge translation initiative, an electronic care planning tool was enhanced to include evidence-based clinical interventions from schizophrenia guidelines. This paper describes the development of a mental health decision support prototype, a field test by clinicians, and user experiences with the application.

  1. Integration of Evidence Base into a Probabilistic Risk Assessment

    Science.gov (United States)

    Saile, Lyn; Lopez, Vilma; Bickham, Grandin; Kerstman, Eric; FreiredeCarvalho, Mary; Byrne, Vicky; Butler, Douglas; Myers, Jerry; Walton, Marlei

    2011-01-01

    INTRODUCTION: A probabilistic decision support model such as the Integrated Medical Model (IMM) utilizes an immense amount of input data that necessitates a systematic, integrated approach for data collection, and management. As a result of this approach, IMM is able to forecasts medical events, resource utilization and crew health during space flight. METHODS: Inflight data is the most desirable input for the Integrated Medical Model. Non-attributable inflight data is collected from the Lifetime Surveillance for Astronaut Health study as well as the engineers, flight surgeons, and astronauts themselves. When inflight data is unavailable cohort studies, other models and Bayesian analyses are used, in addition to subject matters experts input on occasion. To determine the quality of evidence of a medical condition, the data source is categorized and assigned a level of evidence from 1-5; the highest level is one. The collected data reside and are managed in a relational SQL database with a web-based interface for data entry and review. The database is also capable of interfacing with outside applications which expands capabilities within the database itself. Via the public interface, customers can access a formatted Clinical Findings Form (CLiFF) that outlines the model input and evidence base for each medical condition. Changes to the database are tracked using a documented Configuration Management process. DISSCUSSION: This strategic approach provides a comprehensive data management plan for IMM. The IMM Database s structure and architecture has proven to support additional usages. As seen by the resources utilization across medical conditions analysis. In addition, the IMM Database s web-based interface provides a user-friendly format for customers to browse and download the clinical information for medical conditions. It is this type of functionality that will provide Exploratory Medicine Capabilities the evidence base for their medical condition list

  2. Beyond Sleep – a case study on textual instability and challenges for textual scholarship

    NARCIS (Netherlands)

    Kegel, P.W.

    2016-01-01

    Although W.F. Hermans’ novel Nooit meer slapen (Beyond Sleep) has been published within the multi-volume Complete Works edition already in 2010, the work remains a challenge for textual scholarship. First published in 1966, it has been revised by the author many times. Next to that, the actual

  3. The challenge of integrating evidence-based design.

    Science.gov (United States)

    Martin, Caren S

    2009-01-01

    This paper discusses the integration of evidence-based design (EBD) into the design process as an innovation, illuminates the significance and progress of the diffusion of this innovation, and identifies EBD advocates and the consequences of meeting the EBD challenge. A free tool for engaging in EBD is explored. Healthcare designers are leading the EBD charge, because their clients depend on it. But not all designers engage in EBD, because it may be beyond the resources of a firm or outside its culture. However, as with other meaningful design innovations, designers who do not practice EBD could fall by the wayside. EBD is a product of the diffusion of the innovation of evidence-based medicine. The academy (i.e., the collective of institutions of higher education), design organizations, design communities, and the media all contribute to the diffusion of EBD. However, the quantity, quality, and understandability of evidence continue to challenge its broad adoption. InformeDesign®, a free, Internet-based tool, presents information to designers in a concise, understandable way. Firms must invest in EBD incrementally as a value-added component of design to meet current and future challenges. It is important for designers to realize that engaging in EBD is not a rejection of creativity, but a means by which to elevate their design solutions. ©2009 VENDOME GROUP, LLC

  4. Integrating best evidence into patient care: a process facilitated by a seamless integration with informatics tools.

    Science.gov (United States)

    Giuse, Nunzia B; Williams, Annette M; Giuse, Dario A

    2010-07-01

    The Vanderbilt University paper discusses how the Eskind Biomedical Library at Vanderbilt University Medical Center transitioned from a simplistic approach that linked resources to the institutional electronic medical record system, StarPanel, to a value-added service that is designed to deliver highly relevant information. Clinical teams formulate complex patient-specific questions via an evidence-based medicine literature request basket linked to individual patient records. The paper transitions into discussing how the StarPanel approach acted as a springboard for two additional projects that use highly trained knowledge management librarians with informatics expertise to integrate evidence into both order sets and a patient portal, MyHealth@Vanderbilt.

  5. The Ubiquity of Humanity and Textuality in Human Experience

    Directory of Open Access Journals (Sweden)

    Daihyun Chung

    2015-11-01

    Full Text Available The so-called “crisis of the humanities” can be understood in terms of an asymmetry between the natural and social sciences on the one hand and the humanities on the other. While the sciences approach topics related to human experience in quantificational or experimental terms, the humanities turn to ancient, canonical, and other texts in the search for truths about human experience. As each approach has its own unique limitations, it is desirable to overcome or remove the asymmetry between them. The present article seeks to do just that by advancing and defending the following two claims: (a that humanity is ubiquitous wherever language is used; and (b that anything that can be experienced by humans is in need of an interpretation. Two arguments are presented in support of these claims. The first argument concerns the nature of questions, which are one of the fundamental marks or manifestations of human language. All questions are ultimately attempts to find meanings or interpretations of what is presented. As such, in questioning phenomena, one seeks to transcend the negative space or oppression of imposed structures; in doing so, one reveals one’s humanity. Second, all phenomena are textual in nature: that which astrophysicists find in distant galaxies or which cognitive neuroscientists find in the structures of the human brain are no less in need of interpretation than the dialogues of Plato or the poems of Homer. Texts are ubiquitous. The implications of these two arguments are identified and discussed in this article. In particular, it is argued that the ubiquity of humanity and textuality points to a view of human nature that is neither individualistic nor collectivist but rather integrational in suggesting that the realization of oneself is inseparable from the realization of others.

  6. Dealing with behavioral ambiguity in textual process descriptions

    NARCIS (Netherlands)

    van der Aa, Han; Leopold, Henrik; Reijers, Hajo A.

    2016-01-01

    Textual process descriptions are widely used in organizations since they can be created and understood by virtually everyone. The inherent ambiguity of natural language, however, impedes the automated analysis of textual process descriptions. While human readers can use their context knowledge to

  7. Textual Condensation in Printed Dictionaries. A Theoretical Draft ...

    African Journals Online (AJOL)

    This article presents an excerpt from a theory of lexicographic texts which deals particularly with dictionary articles. Almost all characteristics of dictionary articles considered as typically lexicographic may be regarded as results of textual condensation processes. A theory of textual condensation in lexicography thus makes it ...

  8. “Famoso [y valiente] hidalgo”: sobre conjeturas y deturpaciones textuales

    Directory of Open Access Journals (Sweden)

    Florencio Sevilla Arroyo

    2007-12-01

    Full Text Available The textual manipulations to which the epigraph of the first chapter of El ingenioso hidalgo don Quijote de la Mancha has recently been subjected to offer an obvious example of Textual Bibliography critical threats when handled carelessly. Although it is true that spurious textual “changes” caused by the “printing by forms” and its “count of the original text” were current in Golden Age manual presses, the risk of distortions that threaten its non-well-informed amendment is also evident. In this case, a restitution of a supposed involuntary omission by the compositors is pretended, famoso [y valiente] hidalgo, which runs away from the first chapter’s epigraph in the original text of the Quijote, under the evidence from the first edition “Tabla de los capítulos”. Nevertheless, there are many typographical evidences that lead to conclude exactly the opposite: it is rather an apocryphal appendix, introduced by the compositor of the “Tabla” from an original famoso y valiente, and aimed just to solve a remaining blank in the last gathering of the book. The amendment, thus, far from restoring the original text, distorts Cervantine writing replacing it for an evident typographical trap. It would be necessary to bear in mind that the only Cervantine text of the first Quijote with critical authority went out of Juan de la Cuesta’s printing presses around Christmas in 1604- 1605...

  9. Towards a textual history of La Galatea

    Directory of Open Access Journals (Sweden)

    Juan Montero

    2010-12-01

    Full Text Available Studying the different printings and editions of La Galatea allows one to establish the work’s textual history. The present study seeks to accomplish this, following this pattern: a the princeps of 1585; b early printings from 1590-1618 and from the book’s editorial resurgence from 1736-1846; c the editions from 1863 until today and the foundations of a critical edition. The following conclusions are proposed: a the princeps is the closest text to the author’s intention, but contains errors that any editor should identify and correct, if possible; b the editions that date from 1590-1846 include useful readings in that endeavor; c modern editions of La Galatea have erred in general in an exaggerated fidelity to the princeps, with the exception of the one by C. Rosell in 1863, in which other printings were taken into account and the text was emended, even excessively.

  10. Antiabecedarian Desires: Odd Narratology and Digital Textuality

    Directory of Open Access Journals (Sweden)

    Asunción López-Varela Azcárate

    2014-05-01

    Full Text Available Los sistemas de escritura rompen barreras temporales y permiten compartir conocimiento y preservarlo. Como si fuesen organismos vivos, las estructuras narratológicas que conforman la comunicación textual crecen a partir de principios de orden y formas de codificación cuyas raíces retroceden hasta un proto-alfabeto de origen semítico. Sin embargo, la historia literaria incluye muchos ejemplos que, cual virus, han buscado quebrantar el cuerpo de la textualidad alfabética. Este ensayo estudia tres artistas fundamentales, James Joyce, Jorge Luis Borges,William Burroughs, junto con varias obras contemporáneas de literatura electrónica. Todos ellos ponen en cuestión los principios organizativos alfabéticos y anticipan el debate sobre la importancia o no de las estructuras lineales en los sistemas de representación.

  11. Evidence from dynamic integrated proctography to redefine anismus.

    Science.gov (United States)

    Roberts, J P; Womack, N R; Hallan, R I; Thorpe, A C; Williams, N S

    1992-11-01

    The role of anismus in the aetiology of defective rectal evacuation was investigated by dynamic integrated proctography in 20 controls and 71 constipated patients. Normal parameters were defined and compared between 21 constipated patients with poor evacuation during proctography ( 90 per cent of contrast evacuated; group 2). Nine patients in group 1 failed to evacuate. Radiological abnormalities of the rectum were recorded in all groups but obstructed evacuation was not observed. Anismus (defined as a recruitment of puborectalis electromyogram (EMG) activity of > 50 per cent) was significantly more common in group 1 than group 2 patients (14 of 21 versus 12 of 50, P 50 cmH2O compared with two in group 2 (P anismus and inability to raise intrarectal pressure, which may combine to cause defective evacuation. EMG recruitment alone is insufficient to diagnose anismus. Definition should be based on three criteria: demonstration of puborectalis EMG recruitment of > 50 per cent; evidence of an adequate level of intrarectal pressure (> 50 cmH2O) on straining; and presence of defective evacuation.

  12. Textual Data Mining Applications in the Service Chain Knowledge Management of e-Government

    Directory of Open Access Journals (Sweden)

    Jalal Rezaeenour

    2017-03-01

    Full Text Available Systems related to knowledge management can improve quality and efficiency of knowledge used for decision making process. Approximately 80 percent of corporate information are in textual data formats. That is why text mining is useful and important in service chain knowledge management. For example, one of the most important applications of text mining is in managing on-line source of digital documents and the analysis of internal documents. This research is based on text-based documents and textual information and interviews processed by Grounded theory. In this research clustering techniques were applied at first step. In the second step, Apriori association rules techniques for discovering and extracting the most useful association rules were applied. In other words, integration of datamining techniques was emphasized to improve the accuracy and precision of classification. Using decision tree technique for classification may result in reducing classification precision. But, the proposed method showed a significant improvement in classification precision.

  13. Textual emotion recognition for enhancing enterprise computing

    Science.gov (United States)

    Quan, Changqin; Ren, Fuji

    2016-05-01

    The growing interest in affective computing (AC) brings a lot of valuable research topics that can meet different application demands in enterprise systems. The present study explores a sub area of AC techniques - textual emotion recognition for enhancing enterprise computing. Multi-label emotion recognition in text is able to provide a more comprehensive understanding of emotions than single label emotion recognition. A representation of 'emotion state in text' is proposed to encompass the multidimensional emotions in text. It ensures the description in a formal way of the configurations of basic emotions as well as of the relations between them. Our method allows recognition of the emotions for the words bear indirect emotions, emotion ambiguity and multiple emotions. We further investigate the effect of word order for emotional expression by comparing the performances of bag-of-words model and sequence model for multi-label sentence emotion recognition. The experiments show that the classification results under sequence model are better than under bag-of-words model. And homogeneous Markov model showed promising results of multi-label sentence emotion recognition. This emotion recognition system is able to provide a convenient way to acquire valuable emotion information and to improve enterprise competitive ability in many aspects.

  14. Extracting meronomy relations from domain-specific, textual corporate databases

    NARCIS (Netherlands)

    Ittoo, R.A.; Bouma, G.; Maruster, L.; Wortmann, J.C.; Hopfe, C.J.; Rezgui, Y.; Métais, E.; Preece, A.; Li, H.

    2010-01-01

    Various techniques for learning meronymy relationships from open-domain corpora exist. However, extracting meronymy relationships from domain-specific, textual corporate databases has been overlooked, despite numerous application opportunities particularly in domains like product development and/or

  15. Electrophysiological evidence for speech-specific audiovisual integration

    NARCIS (Netherlands)

    Baart, M.; Stekelenburg, J.J.; Vroomen, J.

    2014-01-01

    Lip-read speech is integrated with heard speech at various neural levels. Here, we investigated the extent to which lip-read induced modulations of the auditory N1 and P2 (measured with EEG) are indicative of speech-specific audiovisual integration, and we explored to what extent the ERPs were

  16. Multisensory integration in complete unawareness: evidence from audiovisual congruency priming.

    Science.gov (United States)

    Faivre, Nathan; Mudrik, Liad; Schwartz, Naama; Koch, Christof

    2014-11-01

    Multisensory integration is thought to require conscious perception. Although previous studies have shown that an invisible stimulus could be integrated with an audible one, none have demonstrated integration of two subliminal stimuli of different modalities. Here, pairs of identical or different audiovisual target letters (the sound /b/ with the written letter "b" or "m," respectively) were preceded by pairs of masked identical or different audiovisual prime digits (the sound /6/ with the written digit "6" or "8," respectively). In three experiments, awareness of the audiovisual digit primes was manipulated, such that participants were either unaware of the visual digit, the auditory digit, or both. Priming of the semantic relations between the auditory and visual digits was found in all experiments. Moreover, a further experiment showed that unconscious multisensory integration was not obtained when participants did not undergo prior conscious training of the task. This suggests that following conscious learning, unconscious processing suffices for multisensory integration. © The Author(s) 2014.

  17. Recognizing Textual Entailment: Challenges in the Portuguese Language

    Directory of Open Access Journals (Sweden)

    Gil Rocha

    2018-03-01

    Full Text Available Recognizing textual entailment comprises the task of determining semantic entailment relations between text fragments. A text fragment entails another text fragment if, from the meaning of the former, one can infer the meaning of the latter. If such relation is bidirectional, then we are in the presence of a paraphrase. Automatically recognizing textual entailment relations captures major semantic inference needs in several natural language processing (NLP applications. As in many NLP tasks, textual entailment corpora for English abound, while the same is not true for more resource-scarce languages such as Portuguese. Exploiting what seems to be the only Portuguese corpus for textual entailment and paraphrases (the ASSIN corpus, in this paper, we address the task of automatically recognizing textual entailment (RTE and paraphrases from text written in the Portuguese language, by employing supervised machine learning techniques. We employ lexical, syntactic and semantic features, and analyze the impact of using semantic-based approaches in the performance of the system. We then try to take advantage of the bi-dialect nature of ASSIN to compensate its limited size. With the same aim, we explore modeling the task of recognizing textual entailment and paraphrases as a binary classification problem by considering the bidirectional nature of paraphrases as entailment relationships. Addressing the task as a multi-class classification problem, we achieve results in line with the winner of the ASSIN Challenge. In addition, we conclude that semantic-based approaches are promising in this task, and that combining data from European and Brazilian Portuguese is less straightforward than it may initially seem. The binary classification modeling of the problem does not seem to bring advantages to the original multi-class model, despite the outstanding results obtained by the binary classifier for recognizing textual entailments.

  18. Historical Business Cycles and Market Integration: Evidence from Comovement

    NARCIS (Netherlands)

    Uebele, Martin

    2009-01-01

    This thesis addresses historical business cycles and market integration in Europe and America in the 19th and 20th centuries. For the analysis of historical business cycles, the widely used methodology of historical national accounting is complemented with a dynamic factor model that allows for

  19. Integrating evidence-based principles into the undergraduate ...

    African Journals Online (AJOL)

    Background. The research methodology module was reviewed as part of the overall revision of the undergraduate physiotherapy curriculum of Stellenbosch University. This created an ideal platform from which to assess how to align the principles of evidence-based practice (EBP) with research methodology. Fostering the ...

  20. Interaction and Representational Integration: Evidence from Speech Errors

    Science.gov (United States)

    Goldrick, Matthew; Baker, H. Ross; Murphy, Amanda; Baese-Berk, Melissa

    2011-01-01

    We examine the mechanisms that support interaction between lexical, phonological and phonetic processes during language production. Studies of the phonetics of speech errors have provided evidence that partially activated lexical and phonological representations influence phonetic processing. We examine how these interactive effects are modulated…

  1. TRANS-TEXTUALIZATION AND CARNIVALIZATION IN "WHISTLER," BY ONDJAKI

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    Karine Miranda Campos

    2013-04-01

    Full Text Available This article aims to observe the phenomenon of carnivalization and trans­textuality the novel The Whistler, the Angolan writer Ondjaki. Comprise the theoretical analysis of Bakhtin’s theory on carnivalization and its im­portance for social subversion of monologic discourse established by of­ficial bodies, the theory of Gérard Genette on transtextuality pointing five possible textual relationships. An understanding of the theories and car­nivalization transtextuality pervades the concepts of animism and taboo presented the theory of Sigmund Freud.

  2. Electrophysiological evidence for speech-specific audiovisual integration.

    Science.gov (United States)

    Baart, Martijn; Stekelenburg, Jeroen J; Vroomen, Jean

    2014-01-01

    Lip-read speech is integrated with heard speech at various neural levels. Here, we investigated the extent to which lip-read induced modulations of the auditory N1 and P2 (measured with EEG) are indicative of speech-specific audiovisual integration, and we explored to what extent the ERPs were modulated by phonetic audiovisual congruency. In order to disentangle speech-specific (phonetic) integration from non-speech integration, we used Sine-Wave Speech (SWS) that was perceived as speech by half of the participants (they were in speech-mode), while the other half was in non-speech mode. Results showed that the N1 obtained with audiovisual stimuli peaked earlier than the N1 evoked by auditory-only stimuli. This lip-read induced speeding up of the N1 occurred for listeners in speech and non-speech mode. In contrast, if listeners were in speech-mode, lip-read speech also modulated the auditory P2, but not if listeners were in non-speech mode, thus revealing speech-specific audiovisual binding. Comparing ERPs for phonetically congruent audiovisual stimuli with ERPs for incongruent stimuli revealed an effect of phonetic stimulus congruency that started at ~200 ms after (in)congruence became apparent. Critically, akin to the P2 suppression, congruency effects were only observed if listeners were in speech mode, and not if they were in non-speech mode. Using identical stimuli, we thus confirm that audiovisual binding involves (partially) different neural mechanisms for sound processing in speech and non-speech mode. © 2013 Published by Elsevier Ltd.

  3. Price convergence and market integration: evidence from Malaysia

    OpenAIRE

    Lee, Chin; Habibullah, Muzafar Shah

    2008-01-01

    The purpose of this study is to assess the markets integration within Malaysia by examine the price convergence across Peninsular Malaysia, Sabah and Sarawak. Disaggregate monthly price data for various types of goods or services in Peninsular Malaysia, Sabah and Sarawak were utilized. Levin and Lin (1993) panel unit root test was employed to test whether the price of various types of goods among 3 provinces/states in Malaysia are stationary. The result of panel unit roots test showed that in...

  4. Interaction and representational integration: Evidence from speech errors

    OpenAIRE

    Goldrick, Matthew; Baker, H. Ross; Murphy, Amanda; Baese-Berk, Melissa

    2011-01-01

    We examine the mechanisms that support interaction between lexical, phonological and phonetic processes during language production. Studies of the phonetics of speech errors have provided evidence that partially activated lexical and phonological representations influence phonetic processing. We examine how these interactive effects are modulated by lexical frequency. Previous research has demonstrated that during lexical access, the processing of high frequency words is facilitated; in contr...

  5. Evidence for cognitive vestibular integration impairment in idiopathic scoliosis patients

    Directory of Open Access Journals (Sweden)

    Mercier Pierre

    2009-08-01

    Full Text Available Abstract Background Adolescent idiopathic scoliosis is characterized by a three-dimensional deviation of the vertebral column and its etiopathogenesis is unknown. Various factors cause idiopathic scoliosis, and among these a prominent role has been attributed to the vestibular system. While the deficits in sensorimotor transformations have been documented in idiopathic scoliosis patients, little attention has been devoted to their capacity to integrate vestibular information for cognitive processing for space perception. Seated idiopathic scoliosis patients and control subjects experienced rotations of different directions and amplitudes in the dark and produced saccades that would reproduce their perceived spatial characteristics of the rotations (vestibular condition. We also controlled for possible alteration of the oculomotor and vestibular systems by measuring the subject's accuracy in producing saccades towards memorized peripheral targets in absence of body rotation and the gain of their vestibulo-ocular reflex. Results Compared to healthy controls, the idiopathic scoliosis patients underestimated the amplitude of their rotations. Moreover, the results revealed that idiopathic scoliosis patients produced accurate saccades to memorized peripheral targets in absence of body rotation and that their vestibulo-ocular reflex gain did not differ from that of control participants. Conclusion Overall, results of the present study demonstrate that idiopathic scoliosis patients have an alteration in cognitive integration of vestibular signals. It is possible that severe spine deformity developed partly due to impaired vestibular information travelling from the cerebellum to the vestibular cortical network or alteration in the cortical mechanisms processing the vestibular signals.

  6. SECRETARIAT AND TEXTUAL PRODUCTION: ARGUMENTATION IN THE TEXTUAL GENRE LETTER OF DECLARATION

    Directory of Open Access Journals (Sweden)

    Erivaldo Pereira do Nascimento

    2012-05-01

    Full Text Available This article aims at describing the semantic argumentative structure of the textual/discursive genre Letter of Declaration, one of the documents with which the executive secretary frequently deals. This investigation is based on the Argumention Theory in the Language proposed by Ducrot (1988,1987. We also used the studies about Discursive Modalization proposed by Koch (2002, Castilho e Castilho (1993, Nascimento (2005, among others. Modalization is considered here as a semantic argumentative strategy, as it enables the speaker to make a statement or to express a point of view about the content of his/her enunciation, according to the interlocution. This study about the previously mentioned gender is qualitative, quantitative and descriptive. The corpus used is composed of 20 (twenty Letters of Declaration issued by different organizations or private and public institutions. We perceived that in the Letters of Declaration analysed argumentation is achieved by the use of modalizers and argumentative operators, used by the speaker to produce different effects of meaning in the texts.

  7. Textual appropriation in engineering master's theses: a preliminary study.

    Science.gov (United States)

    Eckel, Edward J

    2011-09-01

    In the thesis literature review, an engineering graduate student is expected to place original research in the context of previous work by other researchers. However, for some students, particularly those for whom English is a second language, the literature review may be a mixture of original writing and verbatim source text appropriated without quotations. Such problematic use of source material leaves students vulnerable to an accusation of plagiarism, which carries severe consequences. Is such textual appropriation common in engineering master's writing? Furthermore, what, if anything, can be concluded when two texts have been found to have textual material in common? Do existing definitions of plagiarism provide a sufficient framework for determining if an instance of copying is transgressive or not? In a preliminary attempt to answer these questions, text strings from a random sample of 100 engineering master's theses from the ProQuest Dissertations and Theses database were searched for appropriated verbatim source text using the Google search engine. The results suggest that textual borrowing may indeed be a common feature of the master's engineering literature review, raising questions about the ability of graduate students to synthesize the literature. The study also illustrates the difficulties of making a determination of plagiarism based on simple textual similarity. A context-specific approach is recommended when dealing with any instance of apparent copying.

  8. The struggle for textual conventions in a language support programme

    African Journals Online (AJOL)

    In this article, the writer explores the experience of a group of South African learners with regard to a language support course that aims to facilitate their struggle to master English textual conventions in discipline specific contexts. The academic context of this study was that of a nursing science degree programme where ...

  9. Shaping Up? Three Acts of Education Studies as Textual Critique

    Science.gov (United States)

    McDougall, Julian; Walker, Stephen; Kendall, Alex

    2006-01-01

    This paper presents a study of dominant educational discourses through textual critique and argues that such an approach enables education studies to preserve an important distinction from teacher training. The texts deconstructed here are specific to English education, but the discourses at work have international relevance as the rhetorics of…

  10. Textual Condensation in Printed Dictionaries. A Theoretical Draft·

    African Journals Online (AJOL)

    applying procedures of textual condensation in relation to a respective full text. The full text ..... and, if one does not consider the inserted wordforms, of the same number of letters. .... soccer clogging: the match turned into a rough game da32.

  11. On the metaphorical nature of intellectual capital: a textual analysis

    NARCIS (Netherlands)

    Dr. Daan Andriessen

    2006-01-01

    Purpose – To analyse common metaphors used in the intellectual capital (IC) and knowledge management literatures to conceptualise knowledge, in order to study the nature of the intellectual capital concept. Design/methodology/approach – A textual analysis methodology is used to analyse texts

  12. Legitimate Textual Borrowing: Direct Quotation in L2 Student Writing

    Science.gov (United States)

    Petric, Bojana

    2012-01-01

    Using textual analysis and interviews with student writers, this study aims to provide an insight into second language students' use of direct quotations in their MA theses by comparing direct quotations in high-rated and low-rated Master's theses, and by exploring student writers' own motivations to quote directly from sources. The corpus…

  13. Finding Environmental Knowledge in SCUBA-Based Textual Materials

    Science.gov (United States)

    Gündogdu, Cemal; Aygün, Yalin; Ilkim, Mehmet

    2018-01-01

    As marine environments within the adventure domain are future key-settings for recreational SCUBA diving experience, SCUBA-based textual materials should provide insight into environmental knowledge that is well connected to the novice divers' behaviour and attitude. This research is concerned with a major recreational SCUBA diver manual for…

  14. Meeting the Challenge of Preparing Social Workers for Integrated Health Practice: Evidence from Two MSW Cohorts

    Science.gov (United States)

    Rishel, Carrie W.; Hartnett, Helen P.

    2017-01-01

    Changes in health care policy have led to an expansion of integrated care models that rely on collaboration among interprofessional health teams. Recent federal funding has encouraged the development of innovative training models to prepare social workers for integrated health practice. This article presents evidence from the first two MSW cohorts…

  15. Integrating research evidence and physical activity policy making-REPOPA project

    NARCIS (Netherlands)

    Aro, A.R.; Bertram, M.; Hamalainen, R.-M.; van de Goor, L.A.M.; Skovgaard, T.; Valente, A.; Castellani, T.; Chereches, R.; Edwards, N.

    2016-01-01

    Evidence shows that regular physical activity is enhanced by supporting environment. Studies are needed to integrate research evidence into health enhancing, cross-sector physical activity (HEPA) policy making. This article presents the rationale, study design, measurement procedures and the initial

  16. Integration of pore features into the evaluation of fingerprint evidence.

    Science.gov (United States)

    Anthonioz, Alexandre; Champod, Christophe

    2014-01-01

    Fingerprint practitioners rely on level 3 features to make decisions in relation to the source of an unknown friction ridge skin impression. This research proposes to assess the strength of evidence associated with pores when shown in (dis)agreement between a mark and a reference print. Based upon an algorithm designed to automatically detect pores, a metric is defined in order to compare different impressions. From this metric, the weight of the findings is quantified using a likelihood ratio. The results obtained on four configurations and 54 donors show the significant contribution of the pore features and translate into statistical terms what latent fingerprint examiners have developed holistically through experience. The system provides LRs that are indicative of the true state under both the prosecution and the defense propositions. Not only such a system brings transparency regarding the weight to assign to such features, but also forces a discussion in relation to the risks of such a model to mislead. © 2013 American Academy of Forensic Sciences.

  17. DISCURSO POLÍTICO DE RENÚNCIA: UMA ANÁLISE TEXTUAL / Political speech of resignation: a textual analysis

    Directory of Open Access Journals (Sweden)

    Maria Eliete de Queiroz

    2016-05-01

    Full Text Available RESUMO O presente artigo analisa a estrutura composicional do gênero discurso político de renúncia do senador Antônio Carlos Magalhães (ACM. A teoria da pesquisa pauta-se na Linguística Textual e na Análise Textual dos Discursos – ATD –  em Adam (2011. O procedimento metodológico e analítico volta-se para a forma de constituição das sequências textuais e do plano de texto do discurso de renúncia. Pela análise, observamos que o discurso de renúncia apresenta uma estrutura composicional composta por blocos temáticos diversos que formam as proposições enunciadas no aspecto global do texto. As etapas que seguem o plano de texto obedecem a seguinte ordem: abertura, parte intermediária e encerramento intermediário conclusivo que são construídas pela mesclagem de sequências narrativas, descritivas, explicativas e argumentativas. A sequência argumentativa é a predominante na construção da materialidade textual. Nesse sentido, o discurso de renúncia leva em conta as especificidades do nível textual e apresenta a genericidade complexa de um discurso político de renúncia. Palavras-chave: Discurso político. Estrutura composicional do gênero. Plano de texto. ABSTRACT This paper analizes the compositional structure of the genre political speech of resignation delivered by the Senator Antonio Carlos Magalhães (ACM. The research theory is based on text linguistics and textual analysis of discourses - TAD - in Adam (2011. The methodological and analysis procedures were conducted according to the constitution of textual sequences and the resignation speech text plan. In this analysis, we were able to see that the resignation speech presents a compositional structure made up of several thematic blocks which form the propositions stated in the global  aspect of the text.  The steps which follow the text plan are the following: opening, intermediate part and intermediate closing which are built by blending the narrative

  18. Collinear facilitation and contour integration in autism: evidence for atypical visual integration.

    Science.gov (United States)

    Jachim, Stephen; Warren, Paul A; McLoughlin, Niall; Gowen, Emma

    2015-01-01

    Autism spectrum disorder (ASD) is a neurodevelopmental disorder characterized by impaired social interaction, atypical communication and a restricted repertoire of interests and activities. Altered sensory and perceptual experiences are also common, and a notable perceptual difference between individuals with ASD and controls is their superior performance in visual tasks where it may be beneficial to ignore global context. This superiority may be the result of atypical integrative processing. To explore this claim we investigated visual integration in adults with ASD (diagnosed with Asperger's Syndrome) using two psychophysical tasks thought to rely on integrative processing-collinear facilitation and contour integration. We measured collinear facilitation at different flanker orientation offsets and contour integration for both open and closed contours. Our results indicate that compared to matched controls, ASD participants show (i) reduced collinear facilitation, despite equivalent performance without flankers; and (ii) less benefit from closed contours in contour integration. These results indicate weaker visuospatial integration in adults with ASD and suggest that further studies using these types of paradigms would provide knowledge on how contextual processing is altered in ASD.

  19. Collinear facilitation and contour integration in autism: evidence for atypical visual integration

    Directory of Open Access Journals (Sweden)

    Stephen eJachim

    2015-03-01

    Full Text Available Autism spectrum disorder (ASD is a neurodevelopmental disorder characterized by impaired social interaction, atypical communication and a restricted repertoire of interests and activities. Altered sensory and perceptual experiences are also common, and a notable perceptual difference between individuals with ASD and controls is their superior performance in visual tasks where it may be beneficial to ignore global context. This superiority may be the result of atypical integrative processing. To explore this claim we investigated visual integration in adults with ASD (diagnosed with Asperger’s Syndrome using two psychophysical tasks thought to rely on integrative processing - collinear facilitation and contour integration. We measured collinear facilitation at different flanker orientation offsets and contour integration for both open and closed contours. Our results indicate that compared to matched controls, ASD participants show (i reduced collinear facilitation, despite equivalent performance without flankers and (ii less benefit from closed contours in contour integration. These results indicate weaker visuospatial integration in adults with ASD and suggest that further studies using these types of paradigms would provide knowledge on how contextual processing is altered in ASD.

  20. Implementing the Integrated Strategy for the Cultural Adaptation of Evidence-Based Interventions: An Illustration.

    Science.gov (United States)

    Sidani, Souraya; Ibrahim, Sarah; Lok, Jana; Fan, Lifeng; Fox, Mary

    2018-01-01

    Background Persons' cultural beliefs about a health problem can affect their perceived acceptability of evidence-based interventions, undermining evidence-based interventions' adherence, and uptake to manage the problem. Cultural adaptation has the potential to enhance the acceptability, uptake, and adherence to evidence-based interventions. Purpose To illustrate the implementation of the first two phases of the integrated strategy for cultural adaptation by examining Chinese Canadians' perceptions of chronic insomnia and evidence-based behavioral therapies for insomnia. Methods Chinese Canadians ( n = 14) with chronic insomnia attended a group session during which they completed established instruments measuring beliefs about sleep and insomnia, and their perceptions of factors that contribute to chronic insomnia. Participants rated the acceptability of evidence-based behavioral therapies and discussed their cultural perspectives regarding chronic insomnia and its treatment. Results Participants actively engaged in the activities planned for the first two phases of the integrated strategy and identified the most significant factor contributing to chronic insomnia and the evidence-based intervention most acceptable for their cultural group. Conclusions The protocol for implementing the two phases of the integrated strategy for cultural adaptation of evidence-based interventions was feasible, acceptable, and useful in identifying culturally relevant evidence-based interventions.

  1. A Cross Cultural Analysis of Textual and Interpersonal Metadiscourse Markers: The Case of Economic Articles in English and Persian Newspapers

    Directory of Open Access Journals (Sweden)

    Abbas Mehrabi Boshrabadi

    2014-04-01

    Full Text Available This study was an attempt to investigate the functional role of textual and interpersonal metadiscourse markers in English and Persian Economic news reports. To this end, 10 news articles, 5 in each language, were randomly selected from the Economic sections of the leading newspapers published in 2013-2014 in Iran and the United States. Based on Kopple’s (1985 taxonomy, the type and frequency of metadiscourse markers used in the texts were analyzed to find out their functions in the text. The findings revealed that the textual markers used by Persian authors were considerably more frequent than those employed by the American writers. Interestingly, unlike the Persian writers, the American authors enlisted a larger number of interpersonal markers, which made their angle of the subject treatment different. It is evident that the differential use of metadiscourse markers by nationally different authors could be attributed to culture-specific norms governing the development and organization of discourse.

  2. STATISTICAL RELATIONAL LEARNING AND SCRIPT INDUCTION FOR TEXTUAL INFERENCE

    Science.gov (United States)

    2017-12-01

    compensate for parser errors. We replace deterministic conjunction by an average combiner, which encodes causal independence. Our framework was the...sentence similarity (STS) and sentence paraphrasing, but not Textual Entailment, where deeper inferences are required. As the formula for conjunction ...When combined, our algorithm learns to rely on systems that not just agree on an output but also the provenance of this output in conjunction with the

  3. Punctuation as readability and textuality factor in technical discourse

    Directory of Open Access Journals (Sweden)

    Carmen Sancho Guinda

    2002-04-01

    Full Text Available This paper studies the incidence of punctuation on the reading comprehension of technical discourse and its role as a factor of textuality. Starting out from the notions of textuality and punctuation functions formulated by different linguistic approaches, an analysis has been made to quantify the decoding skills and punctuating competence of 60 Aeronautical Engineering students, as well as to determine the nature and effects of their punctuation errors. The survey has been focused on the Full Stop, the comma and the hyphen due to their highly conflicting uses as regards the identification of immediate sentence constituents and semantic relationships. The results obtained suggest that most students have a poor knowledge of punctuation rules and little awareness of punctuation as a textual elementaffecting readability. Errors are in the main related to comma use and produced by transference, either of Spanish punctuating habits into English, or of individual prosodic patterns into writing, while meaning appears to be the prevailing punctuating criterion over sound and syntax. Punctuation proves an effective tool for the anticipation of implicit meanings and an untapped resource in the teaching of the diverse communicative and stylistic possibilities offered by technical texts.

  4. MAS Integration and Controllership Effectiveness: Evidence of a Preparer-User Perception Gap

    OpenAIRE

    Weißenberger, Barbara E.; Angelkort, Hendrik; Holthoff, Gero

    2012-01-01

    Recent evidence suggests that managers establish a positive link between management accounting system (MAS) integration and controllership effectiveness, which is fully mediated by the perceived consistency of financial language. Our paper extends this research by analyzing whether controllers have similar perceptions on MAS design. Testing a series of multi-group structural equation models, we find evidence for a preparer-user perception gap with respect to the mediating impact of a consiste...

  5. Engaging Nursing Students: Integrating Evidence-Based Inquiry, Informatics, and Clinical Practice.

    Science.gov (United States)

    Keiffer, Melanie R

    2017-12-05

    The nursing research class requires faculty to create a spirit of inquiry while integrating technology, flexibility, and responsiveness to student needs. This article discusses new pedagogies to actively engage students in the evidence-based nursing process and the achievement of course learning outcomes. Through course exemplar, the author demonstrates a creative method to engage traditional baccalaureate nursing students in a nursing project that links evidence to improved patient outcomes.

  6. Toward the Integration of Meditation into Higher Education: A Review of Research Evidence

    Science.gov (United States)

    Shapiro, Shauna L.; Brown, Kirk Warren; Astin, John A.

    2011-01-01

    Context: There is growing interest in the integration of meditation in higher education. Purpose: Here, we review evidence bearing on the utility of meditation to facilitate the achievement of traditional educational goals and to enhance education of the "whole person." Research Design: We examine how meditation practices may help foster important…

  7. The Navigation Guide - evidence-based medicine meets environmental health: integration of animal and human evidence for PFOA effects on fetal growth.

    Science.gov (United States)

    Lam, Juleen; Koustas, Erica; Sutton, Patrice; Johnson, Paula I; Atchley, Dylan S; Sen, Saunak; Robinson, Karen A; Axelrad, Daniel A; Woodruff, Tracey J

    2014-10-01

    The Navigation Guide is a novel systematic review method to synthesize scientific evidence and reach strength of evidence conclusions for environmental health decision making. Our aim was to integrate scientific findings from human and nonhuman studies to determine the overall strength of evidence for the question "Does developmental exposure to perfluorooctanoic acid (PFOA) affect fetal growth in humans?" We developed and applied prespecified criteria to systematically and transparently a) rate the quality of the scientific evidence as "high," "moderate," or "low"; b) rate the strength of the human and nonhuman evidence separately as "sufficient," "limited," "moderate," or "evidence of lack of toxicity"; and c) integrate the strength of the human and nonhuman evidence ratings into a strength of the evidence conclusion. We identified 18 epidemiology studies and 21 animal toxicology studies relevant to our study question. We rated both the human and nonhuman mammalian evidence as "moderate" quality and "sufficient" strength. Integration of these evidence ratings produced a final strength of evidence rating in which review authors concluded that PFOA is "known to be toxic" to human reproduction and development based on sufficient evidence of decreased fetal growth in both human and nonhuman mammalian species. We concluded that developmental exposure to PFOA adversely affects human health based on sufficient evidence of decreased fetal growth in both human and nonhuman mammalian species. The results of this case study demonstrate the application of a systematic and transparent methodology, via the Navigation Guide, for reaching strength of evidence conclusions in environmental health.

  8. Integrating evidence into practice: use of McKenzie-based treatment for mechanical low back pain

    Directory of Open Access Journals (Sweden)

    Clarke S

    2011-11-01

    Full Text Available Angela Dunsford1, Saravana Kumar1,2, Sarah Clarke1 1International Centre for Allied Health Evidence, 2School of Health Sciences, University of South Australia, Adelaide, South Australia, Australia Abstract: Low back pain (LBP is a major health issue with significant socioeconomic implications in most Western countries. Many forms of treatment have been proposed and investigated in the past, with exercise being a commonly prescribed intervention. Within allied health, in particular physiotherapy, there has been a growing movement that recognizes the role of the McKenzie method in treating LBP. Within the McKenzie framework, directional preference (DP exercises are one such intervention, with preliminary data demonstrating its effectiveness in the management of LBP. In this paper, we aim to integrate the evidence from current research, identified using a systematic review, and utilize a practical real-life case scenario to outline how evidence from the literature can be implemented in clinical practice. The findings from the systematic review indicate that DP exercises may have positive effects in the management of LBP. While the body of evidence to support this is limited (only four studies and therefore modest at best, it does provide some emerging evidence to support the use of DP exercises in clinical practice. Despite this, gaps also persist in the literature on DP exercises, and this relates to the exercise parameters and the compliance rates. Recognizing this dichotomy (modest evidence in some areas and evidence gaps in other areas, which is likely to confront health practitioners, using a practical approach with a real-life clinical scenario, we outline how the evidence from the systematic review can be implemented in clinical practice. This approach builds on the philosophy of evidence-based practice of integrating research evidence with clinical expertise and patient values. Keywords: low back pain, McKenzie method, directional

  9. Integrating evidence-based practice into RN-to-BSN clinical nursing education.

    Science.gov (United States)

    Oh, Eui Geum; Kim, Sunah; Kim, So Sun; Kim, Sue; Cho, Eun Yong; Yoo, Ji-Soo; Kim, Hee Soon; Lee, Ju Hee; You, Mi Ae; Lee, Hyejung

    2010-07-01

    This study examines the effects of integrating evidence-based practice (EBP) into clinical practicum on EBP efficacy and barriers to research utilization among Korean RN-to-BSN students. A one-group pretest-posttest design was used. Eighty-one students were recruited from a school of nursing in Korea. Evidence-based practice clinical practicum was composed of two consecutive programs during one semester. Lectures, individual mentoring on EBP practicum, small group, and wrap-up conferences were provided. Outcomes of EBP efficacy and barriers to research utilization were analyzed using paired t tests for 74 final participants. Evidence-based practice efficacy scores increased significantly (p effectiveness of EBP education among RN-to-BSN students. These results may help health educators develop effective educational strategies to integrate EBP concepts into a clinical practicum. Copyright 2010, SLACK Incorporated.

  10. European Integration and Postcolonial Sovereignty Games

    DEFF Research Database (Denmark)

    observation, textual, legal and institutional analysis for a new theoretical approach to understanding the strategic possibilities and subjectivity of non-sovereign entities in international politics. Bringing together research on European integration and postcolonial theory, European Integration...

  11. Integration of evidence-based practice in bedside teaching paediatrics supported by e-learning.

    Science.gov (United States)

    Potomkova, Jarmila; Mihal, Vladimir; Zapletalova, Jirina; Subova, Dana

    2010-03-01

    Bedside teaching with evidence-based practice elements, supported by e-learning activities, can play an important role in modern medical education. Teachers have to incorporate evidence from the medical literature to increase student motivation and interactivity. An integral part of the medical curricula at Palacky University Olomouc (Czech Republic) are real paediatric scenarios supplemented with a review of current literature to enhance evidence-based bedside teaching & learning. Searching for evidence is taught through librarian-guided interactive hands-on sessions and/or web-based tutorials followed by clinical case presentations and feedback. Innovated EBM paediatric clerkship demonstrated students' preferences towards web-based interactive bedside teaching & learning. In two academic years (2007/2008, 2008/2009), learning-focused feedback from 106 and 131 students, resp. was obtained about their attitudes towards evidence-based bedside teaching. The assessment included among others the overall level of instruction, quality of practical evidence-based training, teacher willingness and impact of instruction on increased interest in the specialty. There was some criticism about excessive workload. A parallel survey was carried out on the perceived values of different forms of information skills training (i.e. demonstration, online tutorials, and librarian-guided interactive search sessions) and post-training self-reported level of search skills. The new teaching/learning paediatric portfolio is a challenge for further activities, including effective knowledge translation, continuing medical & professional development of teachers, and didactic, clinically integrated teaching approaches.

  12. Itinerarios textuales del "Quijote" en América (siglos XVII a XIX

    Directory of Open Access Journals (Sweden)

    Eva Marìa Valero Juan

    2013-12-01

    Full Text Available Starting with a brief description of the journey taken by the first editions of the Quixote which were sent to America, this article aims to review the textual biography of don Quixote in America between the 17th and 19th centuries. This selective review starts with the accounts of popular festivities that give evidence of the first appearances of don Quixote and Sancho in the texts. The selection of texts goes from 1607 to the Spanish Emancipation century, paying particular attention to its final years, with the analysis of some of the texts that Ruben Dario devoted to the Quixote, and of the rise of Don Quixote as a Spanish American symbol of identity.

  13. Computer-Assisted Search Of Large Textual Data Bases

    Science.gov (United States)

    Driscoll, James R.

    1995-01-01

    "QA" denotes high-speed computer system for searching diverse collections of documents including (but not limited to) technical reference manuals, legal documents, medical documents, news releases, and patents. Incorporates previously available and emerging information-retrieval technology to help user intelligently and rapidly locate information found in large textual data bases. Technology includes provision for inquiries in natural language; statistical ranking of retrieved information; artificial-intelligence implementation of semantics, in which "surface level" knowledge found in text used to improve ranking of retrieved information; and relevance feedback, in which user's judgements of relevance of some retrieved documents used automatically to modify search for further information.

  14. Textual and chemical information processing: different domains but similar algorithms

    Directory of Open Access Journals (Sweden)

    Peter Willett

    2000-01-01

    Full Text Available This paper discusses the extent to which algorithms developed for the processing of textual databases are also applicable to the processing of chemical structure databases, and vice versa. Applications discussed include: an algorithm for distribution sorting that has been applied to the design of screening systems for rapid chemical substructure searching; the use of measures of inter-molecular structural similarity for the analysis of hypertext graphs; a genetic algorithm for calculating term weights for relevance feedback searching for determining whether a molecule is likely to exhibit biological activity; and the use of data fusion to combine the results of different chemical similarity searches.

  15. Methodology to build medical ontology from textual resources.

    Science.gov (United States)

    Baneyx, Audrey; Charlet, Jean; Jaulent, Marie-Christine

    2006-01-01

    In the medical field, it is now established that the maintenance of unambiguous thesauri goes through ontologies. Our research task is to help pneumologists code acts and diagnoses with a software that represents medical knowledge through a domain ontology. In this paper, we describe our general methodology aimed at knowledge engineers in order to build various types of medical ontologies based on terminology extraction from texts. The hypothesis is to apply natural language processing tools to textual patient discharge summaries to develop the resources needed to build an ontology in pneumology. Results indicate that the joint use of distributional analysis and lexico-syntactic patterns performed satisfactorily for building such ontologies.

  16. Vertical Integration of Hospitals and Physicians: Economic Theory and Empirical Evidence on Spending and Quality.

    Science.gov (United States)

    Post, Brady; Buchmueller, Tom; Ryan, Andrew M

    2017-08-01

    Hospital-physician vertical integration is on the rise. While increased efficiencies may be possible, emerging research raises concerns about anticompetitive behavior, spending increases, and uncertain effects on quality. In this review, we bring together several of the key theories of vertical integration that exist in the neoclassical and institutional economics literatures and apply these theories to the hospital-physician relationship. We also conduct a literature review of the effects of vertical integration on prices, spending, and quality in the growing body of evidence ( n = 15) to evaluate which of these frameworks have the strongest empirical support. We find some support for vertical foreclosure as a framework for explaining the observed results. We suggest a conceptual model and identify directions for future research. Based on our analysis, we conclude that vertical integration poses a threat to the affordability of health services and merits special attention from policymakers and antitrust authorities.

  17. Using Integrative Medicine in Pain Management: An Evaluation of Current Evidence.

    Science.gov (United States)

    Lin, Yuan-Chi; Wan, Limeng; Jamison, Robert N

    2017-12-01

    Complementary medicine therapies are frequently used to treat pain conditions such as headaches and neck, back, and joint pain. Chronic pain, described as pain lasting longer than 3-6 months, can be a debilitating condition that has a significant socioeconomic impact. Pharmacologic approaches are often used for alleviating chronic pain, but recently there has been a reluctance to prescribe opioids for chronic noncancer pain because of concerns about tolerance, dependence, and addiction. As a result, there has been increased interest in integrative medicine strategies to help manage pain and to reduce reliance on prescription opioids to manage pain. This article offers a brief critical review of integrative medical therapies used to treat chronic pain, including nutritional supplements, yoga, relaxation, tai chi, massage, spinal manipulation, and acupuncture. The goal of this article is to identify those treatments that show evidence of efficacy and to identify gaps in the literature where additional studies and controlled trials are needed. An electronic search of the databases of PubMed, The Cochrane Library, EMBASE, PsycINFO, and Science Citation Index Expanded was conducted. Overall, weak positive evidence was found for yoga, relaxation, tai chi, massage, and manipulation. Strong evidence for acupuncture as a complementary treatment for chronic pain that has been shown to decrease the usage of opioids was found. Few studies were found in which integrative medicine approaches were used to address opioid misuse and abuse among chronic pain patients. Additional controlled trials to address the use of integrative medicine approaches in pain management are needed.

  18. Should different impact assessment instruments be integrated? Evidence from English spatial planning

    International Nuclear Information System (INIS)

    Tajima, Ryo; Fischer, Thomas B.

    2013-01-01

    This paper aims at providing empirical evidence to the question as to whether integration of different instruments is achieving its aim in supporting sustainable decision making, focusing on SEA inclusive sustainability appraisal (SA) and other impact assessments (IAs) currently used in English spatial planning. Usage of IAs in addition to SA is established and an analysis of the integration approach (in terms of process, output, and assessor) as well as its effectiveness is conducted. It is found that while integration enhances effectiveness to some extent, too much integration, especially in terms of the procedural element, appears to diminish the overall effectiveness of each IA in influencing decisions as they become captured by the balancing function of SA. -- Highlights: ► The usage of different impact assessments in English spatial planning is clarified. ► The relationship between integration approach and effectiveness is analyzed. ► Results suggest that integration does not necessarily lead to more sustainable decisions. ► Careful consideration is recommended upon process integration

  19. Should different impact assessment instruments be integrated? Evidence from English spatial planning

    Energy Technology Data Exchange (ETDEWEB)

    Tajima, Ryo, E-mail: tajima.ryo@nies.go.jp [Interdisciplinary Graduate School of Science and Engineering, Tokyo Institute of Technology, 4259-G5-9 Nagatsuta-cho, Midori-ku, Yokoyama City, Kanagawa, 226-8502 (Japan); Fischer, Thomas B., E-mail: fischer@liverpool.ac.uk [Department of Geography and Planning, School of Environmental Sciences, University of Liverpool, 74 Bedford Street South, Liverpool L69 7ZQ (United Kingdom)

    2013-07-15

    This paper aims at providing empirical evidence to the question as to whether integration of different instruments is achieving its aim in supporting sustainable decision making, focusing on SEA inclusive sustainability appraisal (SA) and other impact assessments (IAs) currently used in English spatial planning. Usage of IAs in addition to SA is established and an analysis of the integration approach (in terms of process, output, and assessor) as well as its effectiveness is conducted. It is found that while integration enhances effectiveness to some extent, too much integration, especially in terms of the procedural element, appears to diminish the overall effectiveness of each IA in influencing decisions as they become captured by the balancing function of SA. -- Highlights: ► The usage of different impact assessments in English spatial planning is clarified. ► The relationship between integration approach and effectiveness is analyzed. ► Results suggest that integration does not necessarily lead to more sustainable decisions. ► Careful consideration is recommended upon process integration.

  20. The effects of integrated care: a systematic review of UK and international evidence.

    Science.gov (United States)

    Baxter, Susan; Johnson, Maxine; Chambers, Duncan; Sutton, Anthea; Goyder, Elizabeth; Booth, Andrew

    2018-05-10

    Healthcare systems around the world have been responding to the demand for better integrated models of service delivery. However, there is a need for further clarity regarding the effects of these new models of integration, and exploration regarding whether models introduced in other care systems may achieve similar outcomes in a UK national health service context. The study aimed to carry out a systematic review of the effects of integration or co-ordination between healthcare services, or between health and social care on service delivery outcomes including effectiveness, efficiency and quality of care. Electronic databases including MEDLINE; Embase; PsycINFO; CINAHL; Science and Social Science Citation Indices; and the Cochrane Library were searched for relevant literature published between 2006 to March 2017. Online sources were searched for UK grey literature, and citation searching, and manual reference list screening were also carried out. Quantitative primary studies and systematic reviews, reporting actual or perceived effects on service delivery following the introduction of models of integration or co-ordination, in healthcare or health and social care settings in developed countries were eligible for inclusion. Strength of evidence for each outcome reported was analysed and synthesised using a four point comparative rating system of stronger, weaker, inconsistent or limited evidence. One hundred sixty seven studies were eligible for inclusion. Analysis indicated evidence of perceived improved quality of care, evidence of increased patient satisfaction, and evidence of improved access to care. Evidence was rated as either inconsistent or limited regarding all other outcomes reported, including system-wide impacts on primary care, secondary care, and health care costs. There were limited differences between outcomes reported by UK and international studies, and overall the literature had a limited consideration of effects on service users. Models of

  1. Consumer preferences and values as an integral key to evidence-based practice.

    Science.gov (United States)

    Melnyk, Bernadette Mazurek; Fineout-Overholt, Ellen

    2006-01-01

    Although evidence-based practice (EBP) integrates the best evidence from well-designed studies with a clinician's expertise and patient preferences and values, most of what is emphasized in books and reports on EBP is the 5-step EBP process. However, the consideration of patient values and preferences in making clinical decisions is essential to deliver the highest quality of care. This article briefly reviews the status of EBP in the United States, described the ARCC mentorship model, and highlights how to engage consumers in the EBP process.

  2. Textual standardization and the DSM-5 "common language".

    Science.gov (United States)

    Kelly, Patty A

    2014-06-01

    In February 2010, the American Psychiatric Association (APA) launched their DSM-5 website with details about the development of the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5). The APA invited "the general public" to review the draft diagnostic criteria and provide written comments and suggestions. This revision marks the first time the APA has solicited public review of their diagnostic manual. This article analyzes reported speech on the DSM-5 draft diagnostic criteria for the classification Posttraumatic Stress Disorder. It demonstrates how textual standardization facilitates the cultural portability of the DSM-5 diagnostic criteria such that a community of speakers beyond the borders of the APA come to be seen as exemplary speakers, writers, and revisers of the professional style. Furthermore, analysis shows how co-authoring practices recontextualize the "voice" and persona of putative patient reported speech on Criterion D2. As a consequence of textual standardization, spoken discourse becomes recontextualized as the product of scientific inquiry and the organization of psychiatric knowledge.

  3. Does the Internet Accelerate the Integration of Domestic Markets? Evidence from China

    Institute of Scientific and Technical Information of China (English)

    Lijuan Xie; Wenwei Ai; Hao Zhang

    2016-01-01

    This paper employs a hybrid methodology that combines case study and econometric research to examine the impact of the Internet on domestic market integration.There is not much research on this issue in the literature.From the multi-case analysis,this paper firstly obtains two main indications which are clear yet contrary to each other about how the Internet influences the market integration process.To be specific,although the Internet has both the ability and the potential to promote market integration,it is not always effective and could even harm this process due to several constraints.Using a provincial-level panel dataset from 2007 to 2013 in China,this paper empirically investigates whether the Intemet plays a positive role in the market integration process.Contradictory to common expectations,we do not find any empirical evidence that the Internet accelerates the integration of domestic markets.Thus,when compared with taking advantage of Internet tools,manmade obstacles to market integration that exist in current trading systems and business models deserve more attention.

  4. Suppressed visual looming stimuli are not integrated with auditory looming signals: Evidence from continuous flash suppression.

    Science.gov (United States)

    Moors, Pieter; Huygelier, Hanne; Wagemans, Johan; de-Wit, Lee; van Ee, Raymond

    2015-01-01

    Previous studies using binocular rivalry have shown that signals in a modality other than the visual can bias dominance durations depending on their congruency with the rivaling stimuli. More recently, studies using continuous flash suppression (CFS) have reported that multisensory integration influences how long visual stimuli remain suppressed. In this study, using CFS, we examined whether the contrast thresholds for detecting visual looming stimuli are influenced by a congruent auditory stimulus. In Experiment 1, we show that a looming visual stimulus can result in lower detection thresholds compared to a static concentric grating, but that auditory tone pips congruent with the looming stimulus did not lower suppression thresholds any further. In Experiments 2, 3, and 4, we again observed no advantage for congruent multisensory stimuli. These results add to our understanding of the conditions under which multisensory integration is possible, and suggest that certain forms of multisensory integration are not evident when the visual stimulus is suppressed from awareness using CFS.

  5. International lessons in new methods for grading and integrating cost effectiveness evidence into clinical practice guidelines.

    Science.gov (United States)

    Antioch, Kathryn M; Drummond, Michael F; Niessen, Louis W; Vondeling, Hindrik

    2017-01-01

    Economic evidence is influential in health technology assessment world-wide. Clinical Practice Guidelines (CPG) can enable economists to include economic information on health care provision. Application of economic evidence in CPGs, and its integration into clinical practice and national decision making is hampered by objections from professions, paucity of economic evidence or lack of policy commitment. The use of state-of-art economic methodologies will improve this. Economic evidence can be graded by 'checklists' to establish the best evidence for decision making given methodological rigor. New economic evaluation checklists, Multi-Criteria Decision Analyses (MCDA) and other decision criteria enable health economists to impact on decision making world-wide. We analyse the methodologies for integrating economic evidence into CPG agencies globally, including the Agency of Health Research and Quality (AHRQ) in the USA, National Health and Medical Research Council (NHMRC) and Australian political reforms. The Guidelines and Economists Network International (GENI) Board members from Australia, UK, Canada and Denmark presented the findings at the conference of the International Health Economists Association (IHEA) and we report conclusions and developments since. The Consolidated Guidelines for the Reporting of Economic Evaluations (CHEERS) 24 item check list can be used by AHRQ, NHMRC, other CPG and health organisations, in conjunction with the Drummond ten-point check list and a questionnaire that scores that checklist for grading studies, when assessing economic evidence. Cost-effectiveness Analysis (CEA) thresholds, opportunity cost and willingness-to-pay (WTP) are crucial issues for decision rules in CEA generally, including end-of-life therapies. Limitations of inter-rater reliability in checklists can be addressed by including more than one assessor to reach a consensus, especially when impacting on treatment decisions. We identify priority areas to generate

  6. A monograph assignment as an integrative application of evidence-based medicine and pharmacoeconomic principles.

    Science.gov (United States)

    Law, Anandi V; Jackevicius, Cynthia A; Bounthavong, Mark

    2011-02-10

    To describe the development and assessment of monographs as an assignment to incorporate evidence-based medicine (EBM) and pharmacoeconomic principles into a third-year pharmacoeconomic course. Eight newly FDA-approved drugs were assigned to 16 teams of students, where each drug was assigned to 2 teams. Teams had to research their drug, write a professional monograph, deliver an oral presentation, and answer questions posed by faculty judges. One team was asked to present evidence for inclusion of the drug into a formulary, while another team presented evidence against inclusion. The teams' average score on the written report was 99.1%; on the oral presentation, 92.5%, and on the online quiz given at the end of the presentations, 77%. Monographs are a successful method of incorporating and integrating learning across different concepts, as well as increasing relevance of pharmacoeconomics in the PharmD curriculum.

  7. Machine learning approaches to analysing textual injury surveillance data: a systematic review.

    Science.gov (United States)

    Vallmuur, Kirsten

    2015-06-01

    To synthesise recent research on the use of machine learning approaches to mining textual injury surveillance data. Systematic review. The electronic databases which were searched included PubMed, Cinahl, Medline, Google Scholar, and Proquest. The bibliography of all relevant articles was examined and associated articles were identified using a snowballing technique. For inclusion, articles were required to meet the following criteria: (a) used a health-related database, (b) focused on injury-related cases, AND used machine learning approaches to analyse textual data. The papers identified through the search were screened resulting in 16 papers selected for review. Articles were reviewed to describe the databases and methodology used, the strength and limitations of different techniques, and quality assurance approaches used. Due to heterogeneity between studies meta-analysis was not performed. Occupational injuries were the focus of half of the machine learning studies and the most common methods described were Bayesian probability or Bayesian network based methods to either predict injury categories or extract common injury scenarios. Models were evaluated through either comparison with gold standard data or content expert evaluation or statistical measures of quality. Machine learning was found to provide high precision and accuracy when predicting a small number of categories, was valuable for visualisation of injury patterns and prediction of future outcomes. However, difficulties related to generalizability, source data quality, complexity of models and integration of content and technical knowledge were discussed. The use of narrative text for injury surveillance has grown in popularity, complexity and quality over recent years. With advances in data mining techniques, increased capacity for analysis of large databases, and involvement of computer scientists in the injury prevention field, along with more comprehensive use and description of quality

  8. Evaluating the effect of integrated microfinance and health interventions: an updated review of the evidence.

    Science.gov (United States)

    Lorenzetti, Lara M J; Leatherman, Sheila; Flax, Valerie L

    2017-06-01

    Solutions delivered within firm sectoral boundaries are inadequate in achieving income security and better health for poor populations. Integrated microfinance and health interventions leverage networks of women to promote financial inclusion, build livelihoods, and safeguard against high cost illnesses. Our understanding of the effect of integrated interventions has been limited by variability in intervention, outcome, design, and methodological rigour. This systematic review synthesises the literature through 2015 to understand the effect of integrated microfinance and health programs. We searched PubMed, Scopus, Embase, EconLit, and Global Health databases and sourced bibliographies, identifying 964 articles exclusive of duplicates. Title, abstract, and full text review yielded 35 articles. Articles evaluated the effect of intentionally integrated microfinance and health programs on client outcomes. We rated the quality of evidence for each article. Most interventions combined microfinance with health education, which demonstrated positive effects on health knowledge and behaviours, though not health status. Among programs that integrated microfinance with other health components ( i.e. health micro-insurance, linkages to health providers, and access to health products), results were generally positive but mixed due to the smaller number and quality of studies. Interventions combining multiple health components in a given study demonstrated positive effects, though it was unclear which component was driving the effect. Most articles (57%) were moderate in quality. Integrated microfinance and health education programs were effective, though longer intervention periods are necessary to measure more complex pathways to health status. The effect of microfinance combined with other health components was less clear. Stronger randomized research designs with multiple study arms are required to improve evidence and disentangle the effects of multiple component

  9. Textual Input Enhancement for Vowel Blindness: A Study with Arabic ESL Learners

    Science.gov (United States)

    Alsadoon, Reem; Heift, Trude

    2015-01-01

    This study explores the impact of textual input enhancement on the noticing and intake of English vowels by Arabic L2 learners of English. Arabic L1 speakers are known to experience "vowel blindness," commonly defined as a difficulty in the textual decoding and encoding of English vowels due to an insufficient decoding of the word form.…

  10. The Target of the Question: A Taxonomy of Textual Features for Cambridge University "O" Levels English

    Science.gov (United States)

    Benjamin, Shanti Isabelle

    2015-01-01

    This study investigates the typical textual features that are most frequently targeted in short-answer reading comprehension questions of the Cambridge University "O" Level English Paper 2. Test writers' awareness of how textual features impact on understanding of meanings in text decisions will determine to great extent their decisions…

  11. Técnicas aplicadas al reconocimiento de implicación textual.

    OpenAIRE

    Herrera, Jesús; Peñas, Anselmo; Verdejo, Felisa

    2005-01-01

    Tras establecer qué se entiende por implicación textual, se expone la situación actual y el futuro deseable de los sistemas dirigidos a reconocerla. Se realiza una identificación de las técnicas que implementan actualmente los principales sistemas de Reconocimiento de Implicación Textual.

  12. Textual and Pictorial Glosses: Effectiveness on Incidental Vocabulary Growth When Reading in a Foreign Language.

    Science.gov (United States)

    Kost, Claudia R.; Foss, Pamelo; Lenzini, John J.

    1999-01-01

    Investigates the effects of pictorial and textual glosses and a combination thereof on incidental vocabulary growth of foreign language learners. Subjects from second-semester German classes read a narrative text passage under one of three marginal gloss conditions: textual gloss (English translation); pictorial gloss; and text and pictures in the…

  13. Textual healing: tailor-made kabbalistic therapeutics in Jerusalem.

    Science.gov (United States)

    Guzmen-Carmeli, Shlomo; Sharabi, Asaf

    2017-10-30

    This paper, based on fieldwork conducted in a Jerusalem yeshiva, describes how the yeshiva, a traditional institute of religious studies, also serves as an institution of healing and personal therapy in which sacred religious texts assume a central place. The article focuses on personal sessions between the rabbi who heads the yeshiva, and his audience of believers who turn to him for help in coping with personal hardships and tribulations. The paper contextualizes and elaborates upon the concept of 'deep healing' to describe how the rabbi uses his regular 'tool kit' to diagnose the problems of the person facing him and to offer optimal, personalized therapy. The rabbi uses religious texts to create textual deep healing processes that are tailor-made for the individual supplicant and are intended to accompany supplicants for a long period of time.

  14. Textual Transformations in Contemporary Black Writing in Britain

    Directory of Open Access Journals (Sweden)

    Jawhar Ahmed Dhouib

    2014-04-01

    Full Text Available While the first wave of Caribbean immigrant writers brilliantly explored race-related issues, black Britons like Andrea Levy, Zadie Smith and Caryl Phillips, among others, have sought to depart from earlier fiction, motivated in their project by the changing white face of Britain. In this article, I would like to argue that cultural change in Britain has deeply influenced literary production and has, consequently, laid the ground for a series of textual transformations. To capture instances of creative excess in contemporary black writing in Britain, I will bring under examination Caryl Phillips’s (2009 novel In the Falling Snow. My intention is to show to what extent Phillips’s work surpasses the ‘noose of race’ and already-familiar representations of multicultural Britain to celebrate a ‘post-racial’ society.

  15. Algunas consideraciones sobre la economía textual

    Directory of Open Access Journals (Sweden)

    Lic. Carlos Lázaro Nodals García

    2016-03-01

    Full Text Available l artículo aborda el fenómeno de la proliferación de nuevos textos en las redes sociales, otras plataformas interactivas y equipos donde se aplican las tecnologías de la información y la comunicación. Se hace un análisis de sus características, contextos en que se producen y la escritura con economía textual, como centro de un debate entre las posiciones que la rechazan o exponen los problemas que puede originar en el ámbito del respeto a la lengua materna, los que ven en los mismos un fenómeno objetivo, que es necesario asimilar además de contextualizar, entre los que se encuentran los autores del trabajo, que incluso aprecian su dominio, como parte de las competencias culturales y comunicativas del profesional proactivo del siglo XXI.

  16. Frequency shifting approach towards textual transcription of heartbeat sounds.

    Science.gov (United States)

    Arvin, Farshad; Doraisamy, Shyamala; Safar Khorasani, Ehsan

    2011-10-04

    Auscultation is an approach for diagnosing many cardiovascular problems. Automatic analysis of heartbeat sounds and extraction of its audio features can assist physicians towards diagnosing diseases. Textual transcription allows recording a continuous heart sound stream using a text format which can be stored in very small memory in comparison with other audio formats. In addition, a text-based data allows applying indexing and searching techniques to access to the critical events. Hence, the transcribed heartbeat sounds provides useful information to monitor the behavior of a patient for the long duration of time. This paper proposes a frequency shifting method in order to improve the performance of the transcription. The main objective of this study is to transfer the heartbeat sounds to the music domain. The proposed technique is tested with 100 samples which were recorded from different heart diseases categories. The observed results show that, the proposed shifting method significantly improves the performance of the transcription.

  17. Frequency shifting approach towards textual transcription of heartbeat sounds

    Directory of Open Access Journals (Sweden)

    Safar Khorasani Ehsan

    2011-10-01

    Full Text Available Abstract Auscultation is an approach for diagnosing many cardiovascular problems. Automatic analysis of heartbeat sounds and extraction of its audio features can assist physicians towards diagnosing diseases. Textual transcription allows recording a continuous heart sound stream using a text format which can be stored in very small memory in comparison with other audio formats. In addition, a text-based data allows applying indexing and searching techniques to access to the critical events. Hence, the transcribed heartbeat sounds provides useful information to monitor the behavior of a patient for the long duration of time. This paper proposes a frequency shifting method in order to improve the performance of the transcription. The main objective of this study is to transfer the heartbeat sounds to the music domain. The proposed technique is tested with 100 samples which were recorded from different heart diseases categories. The observed results show that, the proposed shifting method significantly improves the performance of the transcription.

  18. [Textual pragmatics in adolescents with attention deficit hyperactivity disorder: argument].

    Science.gov (United States)

    Gallardo-Paúls, B; Gimeno-Martínez, M; Moreno-Campos, V

    2010-03-03

    Clinical linguistics involves a study of linguistic deficits which focuses on a series of aspects that range from strictly formal, grammatical points to the effective and contextualised use of language. Thus, it is also inevitably concerned with the cognitive, i.e. mental, correlate of such language use, whose basic textual dimensions are narration and argument. To describe the argumentative skills in adolescents with attention deficit hyperactivity disorder (ADHD) and to examine their relationship with academic achievement and sociability. We analysed 79 argumentative texts written by adolescents with ADHD, using a methodology from cognitive linguistics and from theories of argumentation with a dialogical foundation. Adolescents with ADHD provided a greater number of arguments than those in the control group, but with a higher predominance of emotional and negative sanction strategies compared with a greater use of fallacious or circular arguments in those in the control group; the difference between the use of rational arguments in the two groups is not significant.

  19. A quantitative approach for integrating multiple lines of evidence for the evaluation of environmental health risks

    Directory of Open Access Journals (Sweden)

    Jerome J. Schleier III

    2015-01-01

    Full Text Available Decision analysis often considers multiple lines of evidence during the decision making process. Researchers and government agencies have advocated for quantitative weight-of-evidence approaches in which multiple lines of evidence can be considered when estimating risk. Therefore, we utilized Bayesian Markov Chain Monte Carlo to integrate several human-health risk assessment, biomonitoring, and epidemiology studies that have been conducted for two common insecticides (malathion and permethrin used for adult mosquito management to generate an overall estimate of risk quotient (RQ. The utility of the Bayesian inference for risk management is that the estimated risk represents a probability distribution from which the probability of exceeding a threshold can be estimated. The mean RQs after all studies were incorporated were 0.4386, with a variance of 0.0163 for malathion and 0.3281 with a variance of 0.0083 for permethrin. After taking into account all of the evidence available on the risks of ULV insecticides, the probability that malathion or permethrin would exceed a level of concern was less than 0.0001. Bayesian estimates can substantially improve decisions by allowing decision makers to estimate the probability that a risk will exceed a level of concern by considering seemingly disparate lines of evidence.

  20. Nuevas alfabetizaciones en un entorno multimodal: nuevas necesidades lectoras para un entorno textual múltiple

    Directory of Open Access Journals (Sweden)

    Juan Patricio Sánchez-Claros

    2016-01-01

    Full Text Available The new technologies of information, the development of the media and the massive presence of multimedia devices have brought a renewal of the traditional concept of literacy. Multimodality in the media, in the dissemination of knowledge and the communicat ion formats have brought a change in the system of reception of media objects and each of its integral elements. This multimodal environment is part of the daily life of students who access through a scenario of screens and images across a virtual environm ent in which both textual and visual are integrated as an informational continuum that requires to users new interpretation skills. And, consequently, a new approach to media literacy should be the subject of attention from educators. Media literac y implies the need to address new visual skills, new reading skills and especially new skills for integration and analysis, among those who cannot be set aside on the critical apparatus necessary. This paper discusses the content of these skills, some cri tical tools for multimodal approach speech as well as the role the four substrata of discourse, design, production and distribution , typical ofCritical Analysis of Multimodal Discourse are analysed .

  1. Electrophysiological evidence for a self-processing advantage during audiovisual speech integration.

    Science.gov (United States)

    Treille, Avril; Vilain, Coriandre; Kandel, Sonia; Sato, Marc

    2017-09-01

    Previous electrophysiological studies have provided strong evidence for early multisensory integrative mechanisms during audiovisual speech perception. From these studies, one unanswered issue is whether hearing our own voice and seeing our own articulatory gestures facilitate speech perception, possibly through a better processing and integration of sensory inputs with our own sensory-motor knowledge. The present EEG study examined the impact of self-knowledge during the perception of auditory (A), visual (V) and audiovisual (AV) speech stimuli that were previously recorded from the participant or from a speaker he/she had never met. Audiovisual interactions were estimated by comparing N1 and P2 auditory evoked potentials during the bimodal condition (AV) with the sum of those observed in the unimodal conditions (A + V). In line with previous EEG studies, our results revealed an amplitude decrease of P2 auditory evoked potentials in AV compared to A + V conditions. Crucially, a temporal facilitation of N1 responses was observed during the visual perception of self speech movements compared to those of another speaker. This facilitation was negatively correlated with the saliency of visual stimuli. These results provide evidence for a temporal facilitation of the integration of auditory and visual speech signals when the visual situation involves our own speech gestures.

  2. Continuous track paths reveal additive evidence integration in multistep decision making.

    Science.gov (United States)

    Buc Calderon, Cristian; Dewulf, Myrtille; Gevers, Wim; Verguts, Tom

    2017-10-03

    Multistep decision making pervades daily life, but its underlying mechanisms remain obscure. We distinguish four prominent models of multistep decision making, namely serial stage, hierarchical evidence integration, hierarchical leaky competing accumulation (HLCA), and probabilistic evidence integration (PEI). To empirically disentangle these models, we design a two-step reward-based decision paradigm and implement it in a reaching task experiment. In a first step, participants choose between two potential upcoming choices, each associated with two rewards. In a second step, participants choose between the two rewards selected in the first step. Strikingly, as predicted by the HLCA and PEI models, the first-step decision dynamics were initially biased toward the choice representing the highest sum/mean before being redirected toward the choice representing the maximal reward (i.e., initial dip). Only HLCA and PEI predicted this initial dip, suggesting that first-step decision dynamics depend on additive integration of competing second-step choices. Our data suggest that potential future outcomes are progressively unraveled during multistep decision making.

  3. Evidence and Feasibility of Implementing an Integrated Wellness Program in Northeast Georgia.

    Science.gov (United States)

    Flanigan, Amber; Salm Ward, Trina

    2017-08-01

    Evidence for the connection between physical and mental health is growing, as is interest in providing a holistic, mind-body approach to improving mental health and wellness. A needs assessment in northeast Georgia identified several regional health priorities, including mental health and substance abuse, access to care, and cardiovascular health. The study's purpose is threefold: to (1) review evidence for integrated mind-body wellness services, (2) explore the feasibility of implementing wellness services in a small mental health agency serving northeast Georgia, and (3) conduct a brief survey assessing interest in a wellness program. The literature search identified articles within the past 10 years with these key words: "yoga," "mental health," "wellness program," "complementary alternative medicine," "tai chi," "mindfulness," "meditation," and "nutrition." The survey was distributed to the agency's affiliates. The literature review identified strong evidence for an integrated mind-body wellness program that includes yoga, tai chi, mindfulness meditation, and nutrition education. Among 73 survey respondents, 86 percent indicated interest in wellness services, and 85 percent agreed that wellness services are important to mental health and well-being. Authors suggest a model to incorporate a holistic wellness program to complement mental health services and help facilitate physical and mental health. © 2017 National Association of Social Workers.

  4. Is ASEAN Ready for Banking Integration? Evidence from Interest Rate Convergence

    Directory of Open Access Journals (Sweden)

    Fazelina Sahul Hamid

    2016-07-01

    Full Text Available Convergence in prices or returns of assets with similar characteristics indicates that the financial market is integrated with regional markets. This paper is the first that test of the movements of interest rates in ASEAN banking sector for the period 1990 - 2012. The empirical analysis is based on a yearly panel of commercial bank interest rate data from 5 ASEAN countries, namely, Indonesia, Malaysia, Philippines, Singapore and Thailand. We assessed the degree and speed of interest rate convergence using beta and sigma convergence method. The findings show that the difference and the dispersion in the interbank rates have reduced since the Asian financial crisis and this trend has become stronger after the Global financial crisis. The findings of this study confirm that interest rates in the ASEAN banking sector are converging. This provides evidence that the ASEAN banking sector is ready for financial integration.

  5. The Navigation Guide—Evidence-Based Medicine Meets Environmental Health: Integration of Animal and Human Evidence for PFOA Effects on Fetal Growth

    Science.gov (United States)

    Koustas, Erica; Sutton, Patrice; Johnson, Paula I.; Atchley, Dylan S.; Sen, Saunak; Robinson, Karen A.; Axelrad, Daniel A.; Woodruff, Tracey J.

    2014-01-01

    Background: The Navigation Guide is a novel systematic review method to synthesize scientific evidence and reach strength of evidence conclusions for environmental health decision making. Objective: Our aim was to integrate scientific findings from human and nonhuman studies to determine the overall strength of evidence for the question “Does developmental exposure to perfluorooctanoic acid (PFOA) affect fetal growth in humans?” Methods: We developed and applied prespecified criteria to systematically and transparently a) rate the quality of the scientific evidence as “high,” “moderate,” or “low”; b) rate the strength of the human and nonhuman evidence separately as “sufficient,” “limited,” “moderate,” or “evidence of lack of toxicity”; and c) integrate the strength of the human and nonhuman evidence ratings into a strength of the evidence conclusion. Results: We identified 18 epidemiology studies and 21 animal toxicology studies relevant to our study question. We rated both the human and nonhuman mammalian evidence as “moderate” quality and “sufficient” strength. Integration of these evidence ratings produced a final strength of evidence rating in which review authors concluded that PFOA is “known to be toxic” to human reproduction and development based on sufficient evidence of decreased fetal growth in both human and nonhuman mammalian species. Conclusion: We concluded that developmental exposure to PFOA adversely affects human health based on sufficient evidence of decreased fetal growth in both human and nonhuman mammalian species. The results of this case study demonstrate the application of a systematic and transparent methodology, via the Navigation Guide, for reaching strength of evidence conclusions in environmental health. Citation: Lam J, Koustas E, Sutton P, Johnson PI, Atchley DS, Sen S, Robinson KA, Axelrad DA, Woodruff TJ. 2014. The Navigation Guide—evidence-based medicine meets environmental health

  6. Integrating nutrition and child development interventions: scientific basis, evidence of impact, and implementation considerations.

    Science.gov (United States)

    Black, Maureen M; Pérez-Escamilla, Rafael; Rao, Sylvia Fernandez

    2015-11-01

    The Millennium Development Goals (MDGs) have contributed to unprecedented reductions in poverty and improvement in the lives of millions of men, women, and children in low- and middle-income countries. Yet, hundreds of millions of children under 5 y of age are not reaching their developmental potential. This article reviews the scientific basis for early childhood nutrition and child development interventions, the impact of integrated interventions on children's linear growth and cognitive development, and implementation strategies for integrated nutrition and child development programs. Advances in brain science have documented that the origins of adult health and well-being are grounded in early childhood, from conception through age 24 mo (first 1000 d) and extending to age 5 y (second 1000 d). Young children with adequate nutrition, nurturant caregiving, and opportunities for early learning have the best chances of thriving. Evidence from adoption, experimental, and quasi-experimental studies has shown that stunting prevention is sensitive during the first 1000 d, and sensitivity to child development interventions extends through the second 1000 d. Cognitive development responds to interventions post–1000 d with effect sizes that are inversely associated with initial age and length of program exposure. Integrated interventions need governance structures that support integrated policies and programming, with attention to training, supervision, and monitoring. The MDGs have been replaced by the Sustainable Development Goals (SDGs), with targets for the next 15 y. Achievement of the SDGs depends on children receiving adequate nutrition, nurturant caregiving, and learning opportunities from conception through age 5.

  7. On the integration of financial markets: How strong is the evidence from five international stock markets?

    Science.gov (United States)

    Bentes, Sónia R.

    2015-07-01

    This paper examines the integration of financial markets using data from five international stock markets in the context of globalization. The theoretical basis of this study relies on the price theory and the Law of One Price, which was adjusted to the framework of financial markets. When price levels are nonstationary, cointegration and the error correction model constitute a powerful tool for the empirical examination of market integration. The error correction model provides a fully dynamic framework that allows to separating the long and the short run effects of the integration process. A dataset encompassing the daily stock price series of the PSI 20 (Portugal), IBEX 35 (Spain), FTSE 100 (UK), NIKKEI 225 (Japan) and SP 500 (US) indices from January 4th 1999 to September 19th 2014 is employed. The results highlight that these five stock markets are linked together by just one long-run relationship, although short-run movements are also present, which causes distinct deviations from the long-run equilibrium relationship. Endogeneity prevails in the system as a whole. While market integration in the sense of the Law of One Price holds, pairwise full price transmission has limited evidence. The results therefore show that stock market price movements are highly nonlinear and complex.

  8. Evident?

    DEFF Research Database (Denmark)

    Plant, Peter

    2012-01-01

    Quality assurance and evidence in career guidance in Europe are often seen as self-evident approaches, but particular interests lie behind......Quality assurance and evidence in career guidance in Europe are often seen as self-evident approaches, but particular interests lie behind...

  9. International lessons in new methods for grading and integrating cost effectiveness evidence into clinical practice guidelines

    DEFF Research Database (Denmark)

    Antioch, Kathryn M; Drummond, Michael F; Niessen, Louis W

    2017-01-01

    Economic evidence is influential in health technology assessment world-wide. Clinical Practice Guidelines (CPG) can enable economists to include economic information on health care provision. Application of economic evidence in CPGs, and its integration into clinical practice and national decisio......-of-life, budget impact, cost-effective ratios, net benefits and disparities in access and outcomes. Priority setting remains essential and trade-off decisions between policy criteria can be based on MCDA, both in evidence based clinical medicine and in health planning....... that scores that checklist for grading studies, when assessing economic evidence. Cost-effectiveness Analysis (CEA) thresholds, opportunity cost and willingness-to-pay (WTP) are crucial issues for decision rules in CEA generally, including end-of-life therapies. Limitations of inter-rater reliability......, logistics, innovation price, price sensitivity, substitutes and complements, WTP, absenteeism and presentism. Supply issues may include economies of scale, efficiency changes, and return on investment. Involved equity and efficiency measures may include cost-of-illness, disease burden, quality...

  10. Evidence-based educational pathway for the integration of first aid training in school curricula.

    Science.gov (United States)

    De Buck, Emmy; Van Remoortel, Hans; Dieltjens, Tessa; Verstraeten, Hans; Clarysse, Matthieu; Moens, Olaf; Vandekerckhove, Philippe

    2015-09-01

    "Calling for help, performing first aid and providing Cardiopulmonary Resuscitation (CPR)" is part of the educational goals in secondary schools in Belgium (Flanders). However, for teachers it is not always clear at what age children can be taught which aspects of first aid. In addition, it is not clear what constitutes "performing first aid" and we strongly advocate that the first aid curriculum is broader than CPR training alone. To develop an evidence-based educational pathway to enable the integration of first aid into the school curriculum by defining the goals to be achieved for knowledge, skills and attitudes, for different age groups. Studies were identified through electronic databases research (The Cochrane Library, MEDLINE, Embase). We included studies on first aid education for children and adolescents up to 18 years old. A multidisciplinary expert panel formulated their practice experience and expert opinion and discussed the available evidence. We identified 5822 references and finally retained 30 studies (13 experimental and 17 observational studies), including studies concerning emergency call (7 studies), cardiopulmonary resuscitation (18 studies), AED (Automated External Defibrillator) use (6 studies), recovery position (5 studies), choking (2 studies), injuries (5 studies), and poisoning (2 studies). Recommendations (educational goals) were derived after carefully discussing the currently available evidence in the literature and balancing the skills and attitudes of children of different ages. An evidence-based educational pathway with educational goals concerning learning first aid for each age group was developed. This educational pathway can be used for the integration of first aid training in school curricula. Copyright © 2015 The Authors. Published by Elsevier Ireland Ltd.. All rights reserved.

  11. Integration of an Evidence Base into a Probabilistic Risk Assessment Model. The Integrated Medical Model Database: An Organized Evidence Base for Assessing In-Flight Crew Health Risk and System Design

    Science.gov (United States)

    Saile, Lynn; Lopez, Vilma; Bickham, Grandin; FreiredeCarvalho, Mary; Kerstman, Eric; Byrne, Vicky; Butler, Douglas; Myers, Jerry; Walton, Marlei

    2011-01-01

    This slide presentation reviews the Integrated Medical Model (IMM) database, which is an organized evidence base for assessing in-flight crew health risk. The database is a relational database accessible to many people. The database quantifies the model inputs by a ranking based on the highest value of the data as Level of Evidence (LOE) and the quality of evidence (QOE) score that provides an assessment of the evidence base for each medical condition. The IMM evidence base has already been able to provide invaluable information for designers, and for other uses.

  12. A Conceptual Framework for Integration of Evidence-Based Design with Lighting Simulation Tools

    Directory of Open Access Journals (Sweden)

    Anahita Davoodi

    2017-09-01

    Full Text Available The use of lighting simulation tools has been growing over the past years which has improved lighting analysis. While computer simulations have proven to be a viable tool for analyzing lighting in physical environments, they have difficulty in assessing the effects of light on occupant’s perception. Evidence-based design (EBD is a design method that is gaining traction in building design due to its strength in providing means to assess the effects of built environments on humans. The aim of this study was to develop a conceptual framework for integrating EBD with lighting simulation tools. Based on a literature review, it was investigated how EBD and lighting simulation can be combined to provide a holistic lighting performance evaluation method. The results show that they can mutually benefit from each other. EBD makes it possible to evaluate and/or improve performance metrics by utilizing user feedback. On the other hand, performance metrics can be used for a better description of evidence, and to analyze the effects of lighting with more details. The results also show that EBD can be used to evaluate light simulations to better understand when and how they should be performed. A framework is presented for integration of lighting simulation and EBD.

  13. Add-On Complementary Medicine in Cancer Care: Evidence in Literature and Experiences of Integration

    Directory of Open Access Journals (Sweden)

    Elio Rossi

    2017-01-01

    Full Text Available Background: According to the literature an increasing number of cancer patients demand for complementary therapies during their disease. Research has demonstrated that some of these therapies are effective and safe as adjunctive treatments in specific symptoms of these patients. Methods: The aims of the paper are to review the main and recent papers of international literature on the effectiveness of complementary medicine (CM therapies on side effects of anti-cancer protocols and improvement in the quality of life of oncological patients, and to describe the integration of evidence-based acupuncture, herbal medicine and homeopathy treatments in Public Cancer Network of the region of Tuscany. Results: After the review of literature and the approval of a Regional Resolution, some CM will be introduced in Cancer Departments in Tuscany to additionally treat cancer-related symptoms and side effects of conventional cancer therapy: acupuncture for nausea and post-chemotherapy and post-surgery vomiting, pain, hot flashes of iatrogenic menopause, xerostomia; homeopathy for hot flashes of iatrogenic menopause and the side effects of radiotherapy; herbal medicine for cancer-related fatigue, nausea and vomiting, pain, mucositis, anxiety, and depression. Conclusions: The integration of evidence-based complementary treatments allows for an effective response to the demand coming from cancer patients and combines safety and equity of access in public health systems.

  14. Add-On Complementary Medicine in Cancer Care: Evidence in Literature and Experiences of Integration.

    Science.gov (United States)

    Rossi, Elio; Di Stefano, Mariella; Firenzuoli, Fabio; Monechi, Maria Valeria; Baccetti, Sonia

    2017-01-24

    Background : According to the literature an increasing number of cancer patients demand for complementary therapies during their disease. Research has demonstrated that some of these therapies are effective and safe as adjunctive treatments in specific symptoms of these patients. Methods : The aims of the paper are to review the main and recent papers of international literature on the effectiveness of complementary medicine (CM) therapies on side effects of anti-cancer protocols and improvement in the quality of life of oncological patients, and to describe the integration of evidence-based acupuncture, herbal medicine and homeopathy treatments in Public Cancer Network of the region of Tuscany. Results : After the review of literature and the approval of a Regional Resolution, some CM will be introduced in Cancer Departments in Tuscany to additionally treat cancer-related symptoms and side effects of conventional cancer therapy: acupuncture for nausea and post-chemotherapy and post-surgery vomiting, pain, hot flashes of iatrogenic menopause, xerostomia; homeopathy for hot flashes of iatrogenic menopause and the side effects of radiotherapy; herbal medicine for cancer-related fatigue, nausea and vomiting, pain, mucositis, anxiety, and depression. Conclusions : The integration of evidence-based complementary treatments allows for an effective response to the demand coming from cancer patients and combines safety and equity of access in public health systems.

  15. Interactive SIGHT: textual access to simple bar charts

    Science.gov (United States)

    Demir, Seniz; Oliver, David; Schwartz, Edward; Elzer, Stephanie; Carberry, Sandra; Mccoy, Kathleen F.; Chester, Daniel

    2010-12-01

    Information graphics, such as bar charts and line graphs, are an important component of many articles from popular media. The majority of such graphics have an intention (a high-level message) to communicate to the graph viewer. Since the intended message of a graphic is often not repeated in the accompanying text, graphics together with the textual segments contribute to the overall purpose of an article and cannot be ignored. Unfortunately, these visual displays are provided in a format which is not readily accessible to everyone. For example, individuals with sight impairments who use screen readers to listen to documents have limited access to the graphics. This article presents a new accessibility tool, the Interactive SIGHT (Summarizing Information GrapHics Textually) system, that is intended to enable visually impaired users to access the knowledge that one would gain from viewing information graphics found on the web. The current system, which is implemented as a browser extension that works on simple bar charts, can be invoked by a user via a keystroke combination while navigating the web. Once launched, Interactive SIGHT first provides a brief summary that conveys the underlying intention of a bar chart along with the chart's most significant and salient features, and then produces history-aware follow-up responses to provide further information about the chart upon request from the user. We present two user studies that were conducted with sighted and visually impaired users to determine how effective the initial summary and follow-up responses are in conveying the informational content of bar charts, and to evaluate how easy it is to use the system interface. The evaluation results are promising and indicate that the system responses are well-structured and enable visually impaired users to answer key questions about bar charts in an easy-to-use manner. Post-experimental interviews revealed that visually impaired participants were very satisfied with

  16. Textual analysis and machine leaning: Crack unstructured data in finance and accounting

    Directory of Open Access Journals (Sweden)

    Li Guo

    2016-09-01

    Full Text Available In finance and accounting, relative to quantitative methods traditionally used, textual analysis becomes popular recently despite of its substantially less precise manner. In an overview of the literature, we describe various methods used in textual analysis, especially machine learning. By comparing their classification performance, we find that neural network outperforms many other machine learning techniques in classifying news category. Moreover, we highlight that there are many challenges left for future development of textual analysis, such as identifying multiple objects within one single document.

  17. Self-plagiarism and textual recycling: legitimate forms of research misconduct.

    Science.gov (United States)

    Bruton, Samuel V

    2014-01-01

    The concept of self-plagiarism frequently elicits skepticism and generates confusion in the research ethics literature, and the ethical status of what is often called "textual recycling" is particularly controversial. I argue that, in general, self-plagiarism is unethical because it is deceptive and dishonest. I then distinguish several forms of it and argue against various common rationalizations for textual recycling. I conclude with a discussion of two instances of textual recycling, distinguishing them in terms of their ethical seriousness but concluding that both are ethically problematic.

  18. Innovative use of the integrative review to evaluate evidence of technology transformation in healthcare.

    Science.gov (United States)

    Phillips, Andrew B; Merrill, Jacqueline A

    2015-12-01

    Healthcare is in a period significant transformational activity through the accelerated adoption of healthcare technologies, new reimbursement systems that emphasize shared savings and care coordination, and the common place use of mobile technologies by patients, providers, and others. The complexity of healthcare creates barriers to transformational activity and has the potential to inhibit the desired paths toward change envisioned by policymakers. Methods for understanding how change is occurring within this complex environment are important to the evaluation of delivery system reform and the role of technology in healthcare transformation. This study examines the use on an integrative review methodology to evaluate the healthcare literature for evidence of technology transformation in healthcare. The methodology integrates the evaluation of a broad set of literature with an established evaluative framework to develop a more complete understanding of a particular topic. We applied this methodology and the framework of punctuated equilibrium (PEq) to the analysis of the healthcare literature from 2004 to 2012 for evidence of technology transformation, a time during which technology was at the forefront of healthcare policy. The analysis demonstrated that the established PEq framework applied to the literature showed considerable potential for evaluating the progress of policies that encourage healthcare transformation. Significant inhibitors to change were identified through the integrative review and categorized into ten themes that describe the resistant structure of healthcare delivery: variations in the environment; market complexity; regulations; flawed risks and rewards; change theories; barriers; ethical considerations; competition and sustainability; environmental elements, and internal elements. We hypothesize that the resistant nature of the healthcare system described by this study creates barriers to the direct consumer involvement and engagement

  19. The Japanese Amateur Textual Production Scene: Activities and Participation

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    Alvaro David Hernández Hernández

    2016-12-01

    Full Text Available Animation, manga (Japanese comic books, and video games are some of the most popular media in Japan. The huge community of fans and amateur creators that concentrate twice a year at the massive event called Comic Market is one expression of this popularity. In this paper I focus on the Japanese culture of amateur manga, anime or other derivative texts, and present analysis of the way in which members relate to media texts and other members, in order to reveal two different orientations towards action within this culture: one that centers on individual activities, and the other on collective participation. To do this, I focus first on the Japanese amateur culture that is often called dōjin culture to find two basic perspectives. One regards this culture as forming communities or based on social interaction, and the other denies commonality in the relationships between members and stresses individual drive. Then, I focus on a similar distinction that shapes the main discourses concerning Japanese subculture and otaku, both categories within which dōjin culture can be categorized. Here I pay particular attention to two different orientations towards the value of media texts, which provide a reference for understanding the aforementioned opposition between commonality and individuality. In my conclusions, I suggest that this amateur culture can be regarded as an institution of textual appropriation, shaped by two orientations: activities and participation. 

  20. de análisis textual cinematográfico

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    Fernando Vizcarra

    2011-01-01

    Full Text Available Se presenta un análisis textual del filme futurista Blade Runner (1982, de Ridley Scott. Busca, sobre todo, indagar cómo se representan los efectos radicalizados de la modernidad en el discurso cinematográfico y, concretamente, en la construcción fílmica de las identidades. ¿Qué elementos de representación de lo social se movilizan en esta película para expresar, mediante la ficción futurista, las consecuencias críticas de la modernidad en las sociedades contemporáneas? Ciertos componentes de la modernidad y la posmodernidad (que aquí trato como modernidades múltiples, tales como la expansión de la racionalidad y la consecuente crisis de sentido, las rearticulaciones del tiempo y del espacio, la creación de entornos de fiabilidad y riesgo, y los procesos de hibridación, se exploran en este ejercicio a la luz de los siguientes códigos identitarios revelados en Blade Runner: 1 mortalidad, 2 memoria y poder, 3 anomia y sentido, 4 solidaridad y 5 ironía.

  1. Qur’an-related Intertextuality: Textual Potentiation in Translation

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    Aladdin Al-Kharabsheh

    2017-09-01

    Full Text Available Qur’an-related intertextuality, envisaged as an enriching communicative act both monolingually and interlingually, represents a case of semantic complexity that is wired to present inconceivable translation challenges. Drawing on Derrida’s (1977 dichotomy iterability/citationality, Kristeva’s (1980 vertical intertextuality, Fairclough’s (1992a; 1992b; 1995 & 2011 manifest intertextuality, and Bakhtin’s (1986 double voicing or re-accentuation, the study argues that Qur’an-related intertextuality is conducive of conceptual densities, the ‘harnessing’ of which requires ‘mobilizing’ those translation strategies that should exceed the lexicographical equivalence (Venuti 2009 to establish intertextual relations relevant to the form and theme of the foreign text. To resolve the arising translation problems, the study basically proposes two synthetic approaches: the gist-paratextual and the gist-exegetical. Translation skopos has been found to be central to the production and reception of intertextuality and to determining which of the two proposed synthetic approaches to operationalize. Finally, analysis shows that Qur’an proved to be a virtual breeding ground for textual dynamism and potentiation.

  2. Taking Stock: Marie Nimier’s Textual Cabinet of Curiosities

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    Adrienne Angelo

    2014-01-01

    Full Text Available In many life-writing projects, the seemingly innocuous description of heteroclite objects and how those objects are stored and recalled in fact plays an important role in demonstrating their importance to the process of memory work. At once the lingering traces of one’s past and also an aggregation of stories evoked by an examination of them, these curios focus attention on the relationship between the individual and the storage of memories. This article will focus on certain collectibles, collections and collectors that appear throughout the fictional, autobiographical and autofictional world that Marie Nimier has scripted to date. This textual cabinet of curiosities and the act of collecting more generally serve as a trope to connect memory with materiality, despite the numerous narrative voices that Nimier assumes—voices that move from a first-person “Marie Nimier” to an unnamed, although clearly identifiable first-person and even float between genders. Despite this nominal and narrational fluidity, objects function to guarantee recognition, both for the reader, and, especially, for the author herself. What is at stake in this intertextual assemblage of objects is not only the roles that they play in allowing the narrator to revisit past traumas and loss, but also in connecting the author’s presence to other, more fictionalized voices that above all signify the primacy of life-writing in her corpus.

  3. Extracting the Textual and Temporal Structure of Supercomputing Logs

    Energy Technology Data Exchange (ETDEWEB)

    Jain, S; Singh, I; Chandra, A; Zhang, Z; Bronevetsky, G

    2009-05-26

    Supercomputers are prone to frequent faults that adversely affect their performance, reliability and functionality. System logs collected on these systems are a valuable resource of information about their operational status and health. However, their massive size, complexity, and lack of standard format makes it difficult to automatically extract information that can be used to improve system management. In this work we propose a novel method to succinctly represent the contents of supercomputing logs, by using textual clustering to automatically find the syntactic structures of log messages. This information is used to automatically classify messages into semantic groups via an online clustering algorithm. Further, we describe a methodology for using the temporal proximity between groups of log messages to identify correlated events in the system. We apply our proposed methods to two large, publicly available supercomputing logs and show that our technique features nearly perfect accuracy for online log-classification and extracts meaningful structural and temporal message patterns that can be used to improve the accuracy of other log analysis techniques.

  4. Integrating Nutrition and Child Development Interventions: Scientific Basis, Evidence of Impact, and Implementation Considerations123

    Science.gov (United States)

    Black, Maureen M; Pérez-Escamilla, Rafael; Fernandez Rao, Sylvia

    2015-01-01

    The Millennium Development Goals (MDGs) have contributed to unprecedented reductions in poverty and improvement in the lives of millions of men, women, and children in low- and middle-income countries. Yet, hundreds of millions of children under 5 y of age are not reaching their developmental potential. This article reviews the scientific basis for early childhood nutrition and child development interventions, the impact of integrated interventions on children’s linear growth and cognitive development, and implementation strategies for integrated nutrition and child development programs. Advances in brain science have documented that the origins of adult health and well-being are grounded in early childhood, from conception through age 24 mo (first 1000 d) and extending to age 5 y (second 1000 d). Young children with adequate nutrition, nurturant caregiving, and opportunities for early learning have the best chances of thriving. Evidence from adoption, experimental, and quasi-experimental studies has shown that stunting prevention is sensitive during the first 1000 d, and sensitivity to child development interventions extends through the second 1000 d. Cognitive development responds to interventions post–1000 d with effect sizes that are inversely associated with initial age and length of program exposure. Integrated interventions need governance structures that support integrated policies and programming, with attention to training, supervision, and monitoring. The MDGs have been replaced by the Sustainable Development Goals (SDGs), with targets for the next 15 y. Achievement of the SDGs depends on children receiving adequate nutrition, nurturant caregiving, and learning opportunities from conception through age 5. PMID:26875208

  5. The social organization of representations of history: the textual accomplishment of coming to terms with the past.

    Science.gov (United States)

    Tileagă, Cristian

    2009-06-01

    This paper is concerned with the social organization of collective memory and representations of history in the context of how post-communist democracies reckon with former regimes. It specifically centres on the textual accomplishment of coming to terms with the past in the 'Tismăneanu Report' condemning Communism in Romania. The focus is on how the Report displays and shapes the ideological contours of coming to terms with the past around a particular 'social representation' of history. Several constitutive features of the Report that facilitate bringing off a particular 'representation of history' are identified: (a) the construction of a practical framework for the inquiry as a matter of public concern and attention; (b) the production of 'Communism' as an empirical category with uniquely bound features; and (c) the structuring of time by bringing together a political agenda and national identity. The present argument tries to place representations of history (and coming to terms with the past) as something in need of constitution rather than simply relied on. It is suggested that a conception of coming to terms with the past as a textual accomplishment may lead to a fuller appreciation of the structure, function and salience of representations of history as integral part of moral/political/legal courses of action.

  6. Classifying unstructed textual data using the Product Score Model: an alternative text mining algorithm

    NARCIS (Netherlands)

    He, Qiwei; Veldkamp, Bernard P.; Eggen, T.J.H.M.; Veldkamp, B.P.

    2012-01-01

    Unstructured textual data such as students’ essays and life narratives can provide helpful information in educational and psychological measurement, but often contain irregularities and ambiguities, which creates difficulties in analysis. Text mining techniques that seek to extract useful

  7. The Text's the Thing: Using (Neglected) Issues of Textual Scholarship to Help Students Reimagine Shakespeare

    Science.gov (United States)

    Parsons, Scott

    2009-01-01

    Do individuals know what words Shakespeare actually wrote? Exploring these issues can yield dramatic interest. With references to Shakespeare's Quartos and Folios, the author examines key textual issues and discrepancies in classroom studies of "Hamlet." (Contains 8 notes.)

  8. La superación a los docentes para la producción textual

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    Rafaela Hinojosa Legrá

    2017-11-01

    Full Text Available La producción textual es uno de los componentes más afectados desde los primeros grados en la enseñanza de la Lengua Materna, entre las causas que lo provocan está la deficiente preparación de los docentes para ofrecer el tratamiento adecuado, este trabajo ofrece vías para la superación profesional respecto a la producción textual.

  9. An analysis for understanding the process of textual deconstruction as a motivator for learning

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    Ana Delia Barrera Jiménez

    2010-03-01

    Full Text Available The present article aims to analyze the potential of the process of textual understanding and construction, for the development of motivation towards learning in teacher trainees for Preuniversities. In this direction it advocates in the first place, to understand the dynamic relationship established between the process of textual attribution and production and the motivational one, which provides the indispensable condition for promoting the work with the text from all the subjects in the curriculum.

  10. An "Evidence-Based" Professional Development Program for Physics Teachers Focusing on Knowledge Integration

    Science.gov (United States)

    Berger, Hana

    This dissertation is concerned with the design and study of an evidence-based approach to the professional development of high-school physics teachers responding to the need to develop effective continuing professional development programs (CPD) in domains that require genuine changes in teachers' views, knowledge, and practice. The goals of the thesis were to design an evidence-based model for the CPD program, to implement it with teachers, and to study its influence on teachers' knowledge, views, and practice, as well as its impact on students' learning. The program was developed in three consecutive versions: a pilot, first, and second versions. Based on the pilot version (that was not part of this study), we developed the first version of the program in which we studied difficulties in employing the evidence-based and blended-learning approaches. According to our findings, we modified the strategies for enacting these approaches in the second version of the program. The influence of the program on the teachers and students was studied during the enactment of the second version of the program. The model implemented in the second version of the program was characterized by four main design principles: 1. The KI and evidence aspects are acquired simultaneously in an integrated manner. 2. The guidance of the teachers follows the principles of cognitive apprenticeship both in the evidence and the KI aspects. 3. The teachers experience the innovative activities as learners. 4. The program promotes continuity of teachers' learning through a structured "blended learning" approach. The results of our study show that this version of the program achieved its goals; throughout the program the teachers progressed in their knowledge, views, and practice concerning the knowledge integration, and in the evidence and learner-centered aspects. The results also indicated that students improved their knowledge of physics and knowledge integration skills that were developed

  11. Integrating microfinance and health strategies: examining the evidence to inform policy and practice.

    Science.gov (United States)

    Leatherman, Sheila; Metcalfe, Marcia; Geissler, Kimberley; Dunford, Christopher

    2012-03-01

    Single solutions continue to be inadequate in confronting the prevalent problems of poverty, ill health and insufficient health system capacity worldwide. The poor need access to an integrated set of financial and health services to have income security and better health. Over 3500 microfinance institutions (MFIs) provide microcredit and financial services to more than 155 million households worldwide. Conservative estimates indicate that at least 34 million of these households are very poor by the definition in the Millennium Development Goals, representing around 170 million people, many in remote areas beyond the reach of health agencies, both private and governmental. A small but increasing number of MFIs offer health-related services, such as education, clinical care, community health workers, health-financing and linkages to public and private health providers. Multiple studies indicate the effectiveness of microfinance and its impact on poverty. A small but growing number of studies also attempt to show that MFIs are capable of contributing to health improvement by increasing knowledge that leads to behavioural changes, and by enhancing access to health services through addressing financial, geographic and other barriers. While these studies are of uneven quality, they indicate positive health benefits in diverse areas such as maternal and child health, malaria and other infectious disease, and domestic violence. While more rigorous research is needed to inform policy and guide programme implementation to integrate microfinance and health interventions that can reliably enhance the well-being of the poor, there is useful evidence to support the design and delivery of integrated programmes now. Worldwide, current public health programmes and health systems are proving to be inadequate to meet population needs. The microfinance sector offers an underutilized opportunity for delivery of health-related services to many hard-to-reach populations.

  12. Experiential thinking in creationism--a textual analysis.

    Science.gov (United States)

    Nieminen, Petteri; Ryökäs, Esko; Mustonen, Anne-Mari

    2015-01-01

    Creationism is a religiously motivated worldview in denial of biological evolution that has been very resistant to change. We performed a textual analysis by examining creationist and pro-evolutionary texts for aspects of "experiential thinking", a cognitive process different from scientific thought. We observed characteristics of experiential thinking as follows: testimonials (present in 100% of sampled creationist texts), such as quotations, were a major form of proof. Confirmation bias (100% of sampled texts) was represented by ignoring or dismissing information that would contradict the creationist hypothesis. Scientifically irrelevant or flawed information was re-interpreted as relevant for the falsification of evolution (75-90% of sampled texts). Evolutionary theory was associated to moral issues by demonizing scientists and linking evolutionary theory to atrocities (63-93% of sampled texts). Pro-evolutionary rebuttals of creationist claims also contained testimonials (93% of sampled texts) and referred to moral implications (80% of sampled texts) but displayed lower prevalences of stereotypical thinking (47% of sampled texts), confirmation bias (27% of sampled texts) and pseudodiagnostics (7% of sampled texts). The aspects of experiential thinking could also be interpreted as argumentative fallacies. Testimonials lead, for instance, to ad hominem and appeals to authorities. Confirmation bias and simplification of data give rise to hasty generalizations and false dilemmas. Moral issues lead to guilt by association and appeals to consequences. Experiential thinking and fallacies can contribute to false beliefs and the persistence of the claims. We propose that science educators would benefit from the systematic analysis of experiential thinking patterns and fallacies in creationist texts and pro-evolutionary rebuttals in order to concentrate on scientific misconceptions instead of the scientifically irrelevant aspects of the creationist-evolutionist debate.

  13. Experiential Thinking in Creationism—A Textual Analysis

    Science.gov (United States)

    Nieminen, Petteri; Ryökäs, Esko; Mustonen, Anne-Mari

    2015-01-01

    Creationism is a religiously motivated worldview in denial of biological evolution that has been very resistant to change. We performed a textual analysis by examining creationist and pro-evolutionary texts for aspects of “experiential thinking”, a cognitive process different from scientific thought. We observed characteristics of experiential thinking as follows: testimonials (present in 100% of sampled creationist texts), such as quotations, were a major form of proof. Confirmation bias (100% of sampled texts) was represented by ignoring or dismissing information that would contradict the creationist hypothesis. Scientifically irrelevant or flawed information was re-interpreted as relevant for the falsification of evolution (75–90% of sampled texts). Evolutionary theory was associated to moral issues by demonizing scientists and linking evolutionary theory to atrocities (63–93% of sampled texts). Pro-evolutionary rebuttals of creationist claims also contained testimonials (93% of sampled texts) and referred to moral implications (80% of sampled texts) but displayed lower prevalences of stereotypical thinking (47% of sampled texts), confirmation bias (27% of sampled texts) and pseudodiagnostics (7% of sampled texts). The aspects of experiential thinking could also be interpreted as argumentative fallacies. Testimonials lead, for instance, to ad hominem and appeals to authorities. Confirmation bias and simplification of data give rise to hasty generalizations and false dilemmas. Moral issues lead to guilt by association and appeals to consequences. Experiential thinking and fallacies can contribute to false beliefs and the persistence of the claims. We propose that science educators would benefit from the systematic analysis of experiential thinking patterns and fallacies in creationist texts and pro-evolutionary rebuttals in order to concentrate on scientific misconceptions instead of the scientifically irrelevant aspects of the creationist

  14. Experiential thinking in creationism--a textual analysis.

    Directory of Open Access Journals (Sweden)

    Petteri Nieminen

    Full Text Available Creationism is a religiously motivated worldview in denial of biological evolution that has been very resistant to change. We performed a textual analysis by examining creationist and pro-evolutionary texts for aspects of "experiential thinking", a cognitive process different from scientific thought. We observed characteristics of experiential thinking as follows: testimonials (present in 100% of sampled creationist texts, such as quotations, were a major form of proof. Confirmation bias (100% of sampled texts was represented by ignoring or dismissing information that would contradict the creationist hypothesis. Scientifically irrelevant or flawed information was re-interpreted as relevant for the falsification of evolution (75-90% of sampled texts. Evolutionary theory was associated to moral issues by demonizing scientists and linking evolutionary theory to atrocities (63-93% of sampled texts. Pro-evolutionary rebuttals of creationist claims also contained testimonials (93% of sampled texts and referred to moral implications (80% of sampled texts but displayed lower prevalences of stereotypical thinking (47% of sampled texts, confirmation bias (27% of sampled texts and pseudodiagnostics (7% of sampled texts. The aspects of experiential thinking could also be interpreted as argumentative fallacies. Testimonials lead, for instance, to ad hominem and appeals to authorities. Confirmation bias and simplification of data give rise to hasty generalizations and false dilemmas. Moral issues lead to guilt by association and appeals to consequences. Experiential thinking and fallacies can contribute to false beliefs and the persistence of the claims. We propose that science educators would benefit from the systematic analysis of experiential thinking patterns and fallacies in creationist texts and pro-evolutionary rebuttals in order to concentrate on scientific misconceptions instead of the scientifically irrelevant aspects of the creationist

  15. Utility-preserving privacy protection of textual healthcare documents.

    Science.gov (United States)

    Sánchez, David; Batet, Montserrat; Viejo, Alexandre

    2014-12-01

    The adoption of ITs by medical organisations makes possible the compilation of large amounts of healthcare data, which are quite often needed to be released to third parties for research or business purposes. Many of this data are of sensitive nature, because they may include patient-related documents such as electronic healthcare records. In order to protect the privacy of individuals, several legislations on healthcare data management, which state the kind of information that should be protected, have been defined. Traditionally, to meet with current legislations, a manual redaction process is applied to patient-related documents in order to remove or black-out sensitive terms. This process is costly and time-consuming and has the undesired side effect of severely reducing the utility of the released content. Automatic methods available in the literature usually propose ad-hoc solutions that are limited to protect specific types of structured information (e.g. e-mail addresses, social security numbers, etc.); as a result, they are hardly applicable to the sensitive entities stated in current regulations that do not present those structural regularities (e.g. diseases, symptoms, treatments, etc.). To tackle these limitations, in this paper we propose an automatic sanitisation method for textual medical documents (e.g. electronic healthcare records) that is able to protect, regardless of their structure, sensitive entities (e.g. diseases) and also those semantically related terms (e.g. symptoms) that may disclose the former ones. Contrary to redaction schemes based on term removal, our approach improves the utility of the protected output by replacing sensitive terms with appropriate generalisations retrieved from several medical and general-purpose knowledge bases. Experiments conducted on highly sensitive documents and in coherency with current regulations on healthcare data privacy show promising results in terms of the practical privacy and utility of the

  16. Clinical practice guidelines on the evidence-based use of integrative therapies during and following breast cancer treatment

    Science.gov (United States)

    Greenlee, Heather; DuPont-Reyes, Melissa J.; Balneaves, Lynda G.; Carlson, Linda E.; Cohen, Misha R.; Deng, Gary; Johnson, Jillian A.; Mumber, Matthew; Seely, Dugald; Zick, Suzanna; Boyce, Lindsay; Tripathy, Debu

    2018-01-01

    Patients with breast cancer commonly use complementary and integrative therapies as supportive care during cancer treatment and to manage treatment-related side effects. However, evidence supporting the use of such therapies in the oncology setting is limited. This report provides updated clinical practice guidelines from the Society for Integrative Oncology on the use of integrative therapies for specific clinical indications during and after breast cancer treatment, including anxiety/stress, depression/mood disorders, fatigue, quality of life/physical functioning, chemotherapy-induced nausea and vomiting, lymphedema, chemotherapy-induced peripheral neuropathy, pain, and sleep disturbance. Clinical practice guidelines are based on a systematic literature review from 1990 through 2015. Music therapy, meditation, stress management, and yoga are recommended for anxiety/stress reduction. Meditation, relaxation, yoga, massage, and music therapy are recommended for depression/mood disorders. Meditation and yoga are recommended to improve quality of life. Acupressure and acupuncture are recommended for reducing chemotherapy-induced nausea and vomiting. Acetyl-L-carnitine is not recommended to prevent chemotherapy-induced peripheral neuropathy due to a possibility of harm. No strong evidence supports the use of ingested dietary supplements to manage breast cancer treatment-related side effects. In summary, there is a growing body of evidence supporting the use of integrative therapies, especially mind-body therapies, as effective supportive care strategies during breast cancer treatment. Many integrative practices, however, remain understudied, with insufficient evidence to be definitively recommended or avoided. PMID:28436999

  17. Automating generation of textual class definitions from OWL to English.

    Science.gov (United States)

    Stevens, Robert; Malone, James; Williams, Sandra; Power, Richard; Third, Allan

    2011-05-17

    developers of EFO are sufficiently satisfied with the output that the generated definitions have been incorporated into EFO. Whilst not a substitute for hand-written textual definitions, our generated definitions are a useful starting point. An on-line version of the NLG text definition tool can be found at http://swat.open.ac.uk/tools/. The questionaire and sample generated text definitions may be found at http://mcs.open.ac.uk/nlg/SWAT/bio-ontologies.html.

  18. The Influence of Wittgenstein’s Philosophy of Language on the Textual Production of the Vienna Group

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    Luka Bešlagić

    2016-04-01

    Full Text Available The entirety of Wittgenstein’s problematization of language was of particular importance for numerous Austrian postwar artists and art movements, but was possibly most evident in the poetics and heterogeneous practices of the Vienna Group. Analysis of selected texts of the latter neo-avantgarde movement – namely, Konrad Bayer’s the philosopher’s stone1 (1963 and Oswald Wiener’s the improvement of central europe, novel (1969 – unveils the direct influence of both of the early and late Wittgenstein, paradigmatically represented by his two major books: Tractatus Logico-Philosophicus (1921 and Philosophical Investigations (1953. Texts of the Vienna Group to which this article refers to are not interpreted as literary works, but rather as diverse examples of textual production; instead of being analyzed as aesthetic objects, these texts are examined as platforms of potential inscription of Wittgensteinian critique of language.

  19. Holistic integration of gaze cues in visual face and body perception: Evidence from the composite design.

    Science.gov (United States)

    Vrancken, Leia; Germeys, Filip; Verfaillie, Karl

    2017-01-01

    A considerable amount of research on identity recognition and emotion identification with the composite design points to the holistic processing of these aspects in faces and bodies. In this paradigm, the interference from a nonattended face half on the perception of the attended half is taken as evidence for holistic processing (i.e., a composite effect). Far less research, however, has been dedicated to the concept of gaze. Nonetheless, gaze perception is a substantial component of face and body perception, and holds critical information for everyday communicative interactions. Furthermore, the ability of human observers to detect direct versus averted eye gaze is effortless, perhaps similar to identity perception and emotion recognition. However, the hypothesis of holistic perception of eye gaze has never been tested directly. Research on gaze perception with the composite design could facilitate further systematic comparison with other aspects of face and body perception that have been investigated using the composite design (i.e., identity and emotion). In the present research, a composite design was administered to assess holistic processing of gaze cues in faces (Experiment 1) and bodies (Experiment 2). Results confirmed that eye and head orientation (Experiment 1A) and head and body orientation (Experiment 2A) are integrated in a holistic manner. However, the composite effect was not completely disrupted by inversion (Experiments 1B and 2B), a finding that will be discussed together with implications for future research.

  20. Organizational factors influencing implementation of evidence-based practices for integrated treatment in behavioral health agencies.

    Science.gov (United States)

    Bonham, Caroline A; Sommerfeld, David; Willging, Cathleen; Aarons, Gregory A

    2014-01-01

    Objective. In recent years, New Mexico has prioritized integrated treatment for cooccurring mental health and substance use disorders within its public behavioral health system. This report describes factors likely to be important when implementing evidence-based practices (EBPs) in community agencies. Methods. Our mixed-method research design consisted of observations, semistructured interviews, and surveys undertaken with employees at 14 agencies at baseline and after 18 months. We developed four-agency typologies based on iterative coding and analysis of observations and interviews. We then examined survey data from employees at the four exemplar agencies to validate qualitative findings. Results. Financial resources and strong leadership impacted agency capacity to train providers and implement EBPs. Quantitative analysis of service provider survey responses from these agencies (N = 38) supported qualitative findings and demonstrated significant mean score differences in leadership, organizational climate, and attitudes toward EBPs in anticipated directions. Conclusion. The availability of strong leadership and financial resources were key components to initial implementation success in this study of community agencies in New Mexico. Reliance only on external funding poses risks for sustainment when demoralizing work climates precipitate employee turnover. Strong agency leadership does not always compensate for deficient financial resources in vulnerable communities.

  1. Organizational Factors Influencing Implementation of Evidence-Based Practices for Integrated Treatment in Behavioral Health Agencies

    Directory of Open Access Journals (Sweden)

    Caroline A. Bonham

    2014-01-01

    Full Text Available Objective. In recent years, New Mexico has prioritized integrated treatment for cooccurring mental health and substance use disorders within its public behavioral health system. This report describes factors likely to be important when implementing evidence-based practices (EBPs in community agencies. Methods. Our mixed-method research design consisted of observations, semistructured interviews, and surveys undertaken with employees at 14 agencies at baseline and after 18 months. We developed four-agency typologies based on iterative coding and analysis of observations and interviews. We then examined survey data from employees at the four exemplar agencies to validate qualitative findings. Results. Financial resources and strong leadership impacted agency capacity to train providers and implement EBPs. Quantitative analysis of service provider survey responses from these agencies (N = 38 supported qualitative findings and demonstrated significant mean score differences in leadership, organizational climate, and attitudes toward EBPs in anticipated directions. Conclusion. The availability of strong leadership and financial resources were key components to initial implementation success in this study of community agencies in New Mexico. Reliance only on external funding poses risks for sustainment when demoralizing work climates precipitate employee turnover. Strong agency leadership does not always compensate for deficient financial resources in vulnerable communities.

  2. Evidence and opportunities for integrating landscape ecology into natural resource planning across multiple-use landscapes

    Science.gov (United States)

    Trammel, E. Jamie; Carter, Sarah; Haby, Travis S.; Taylor, Jason J.

    2018-01-01

    Enhancing natural resource management has been a focus of landscape ecology since its inception, but numerous authors argue that landscape ecology has not yet been effective in achieving the underlying goal of planning and designing sustainable landscapes. We developed nine questions reflecting the application of fundamental research topics in landscape ecology to the landscape planning process and reviewed two recent landscape-scale plans in western North America for evidence of these concepts in plan decisions. Both plans considered multiple resources, uses, and values, including energy development, recreation, conservation, and protection of cultural and historic resources. We found that land use change and multiscale perspectives of resource uses and values were very often apparent in planning decisions. Pattern-process relationships, connectivity and fragmentation, ecosystem services, landscape history, and climate change were reflected less frequently. Landscape sustainability was considered only once in the 295 decisions reviewed, and outputs of landscape models were not referenced. We suggest six actionable opportunities for further integrating landscape ecology concepts into landscape planning efforts: 1) use landscape sustainability as an overarching goal, 2) adopt a broad ecosystem services framework, 3) explore the role of landscape history more comprehensively, 4) regularly consider and accommodate potential effects of climate change, 5) use landscape models to support plan decisions, and 6) promote a greater presence of landscape ecologists within agencies that manage large land bases and encourage active involvement in agency planning efforts. Together these actions may improve the defensibility, durability, and sustainability of landscape plan decisions.

  3. Effects of pictures and textual arguments in sun protection public service announcements.

    Science.gov (United States)

    Boer, Henk; Ter Huurne, Ellen; Taal, Erik

    2006-01-01

    The effect of public service announcements aimed at promoting primary prevention of skin cancer may be limited by superficial cognitive processing. The use of both pictures and textual arguments in sun protection public service announcements were evaluated for their potentially beneficial effects on judgment, cognitive processing and persuasiveness. In a 2 x 2 factorial experimental design individuals were shown public service announcements that advocated the advantages of sun protection measures in different versions in which a picture was present or not present and a textual argument was present or not present. The 159 participants were randomly assigned to one of four conditions. In each condition, participants were shown 12 different public service announcements designed according to the condition. Participants judged each public service announcement on attractiveness, credibility, clarity of communication and the required amount of reflection. After the judgment task, they completed a questionnaire to assess knowledge, perceived advantages and disadvantages of sun protection and intended use of sun protection measures. Pictures enhanced attractiveness, but diminished comprehension. Textual arguments enhanced attractiveness, credibility and comprehension. Pictures as well as textual arguments increased knowledge of sun protection measures. Pictures and textual arguments in public service announcements positively influence the individual's perception of the advantages of sun protection methods and the advantages of their adoption.

  4. Analyzing textual databases using data mining to enable fast product development processes

    International Nuclear Information System (INIS)

    Menon, Rakesh; Tong, Loh Han; Sathiyakeerthi, S.

    2005-01-01

    Currently, companies active in the design of high-tech products are confronted with a number of, often conflicting, challenges. Not only do they have to develop increasingly complex products in ever-shorter amounts of time but they also have to produce them cheaply for the local as well as global markets. In order to manage these conflicting trends adequately, as this paper will demonstrate, companies need to have high quality information at the right moment and at the right location. This serves as the motivation of this paper in which various databases within the product life cycle are examined. Due to the fact that unanticipated information plays a more and more dominant role, especially in highly innovative business processes, we focus our attention on textual databases since textual databases offer the best possibility to handle unanticipated free-formatted information. Also their treatment in the literature has thus far been scant. As will be demonstrated in this paper these databases have a huge potential for valuable information. Further, an analysis tool, data mining that could be used to analyse these textual databases so that we could extract information from them quickly and hence be able to access them at the right time when needed, is presented. We also highlight some of the difficulties faced when analyzing textual databases. Thus with the right information from the textual databases and the tools to deliver this information at the right time companies, would definitely be able to shorten development times and hence gain a competitive edge

  5. The effectiveness of a clinically integrated e-learning course in evidence-based medicine: A cluster randomised controlled trial

    NARCIS (Netherlands)

    Kulier, Regina; Coppus, Sjors F. P. J.; Zamora, Javier; Hadley, Julie; Malick, Sadia; Das, Kausik; Weinbrenner, Susanne; Meyerrose, Berrit; Decsi, Tamas; Horvath, Andrea R.; Nagy, Eva; Emparanza, Jose I.; Arvanitis, Theodoros N.; Burls, Amanda; Cabello, Juan B.; Kaczor, Marcin; Zanrei, Gianni; Pierer, Karen; Stawiarz, Katarzyna; Kunz, Regina; Mol, Ben W. J.; Khan, Khalid S.

    2009-01-01

    ABSTRACT: BACKGROUND: To evaluate the educational effects of a clinically integrated e-learning course for teaching basic evidence-based medicine (EBM) among postgraduates compared to a traditional lecture-based course of equivalent content. METHODS: We conducted a cluster randomised controlled

  6. The Desire for Amputation or Paralyzation: Evidence for Structural Brain Anomalies in Body Integrity Identity Disorder (BIID)

    NARCIS (Netherlands)

    Blom, Rianne M.; van Wingen, Guido A.; van der Wal, Sija J.; Luigjes, Judy; van Dijk, Milenna T.; Scholte, H. Steven; Denys, Damiaan

    2016-01-01

    Body Integrity Identity Disorder (BIID) is a condition in which individuals perceive a mismatch between their internal body scheme and physical body shape, resulting in an absolute desire to be either amputated or paralyzed. The condition is hypothesized to be of congenital nature, but evidence for

  7. Cross-border integration in the European electricity market. Evidence from the pricing behavior of Norwegian and Swiss exporters

    International Nuclear Information System (INIS)

    Balaguer, Jacint

    2011-01-01

    This paper examines the electricity market integration process in two European areas based on the pricing behavior of Norwegian and Swiss exporters. The aim is to gain evidence for the period after the adoption of the 'Second Legislative Package' (2003). The pricing behavior of Norwegian exporters indicates that the wholesale markets for Denmark and Sweden are highly integrated. Moreover, results are fully compatible with the existence of a very competitive marketplace for electricity. This clearly contrasts with the evidence provided by Swiss exporters. In this last case, analysis revealed differences in pricing-to-market behavior between Italy, France and Germany, which indicates that exporters take advantage of international market segmentation and divergences between market structures. This outcome provides a reasonable explanation as to why price differences between countries cannot be fully attributed to transmission costs, as has been claimed in previous research. We also found cross-country convergence in levels of markups and in pricing-to-market behavior of the Swiss exporters for the first part of the period that was analyzed. The evidence is fully consistent with an initial impulse toward market integration originated by reforms implemented at the beginning of the last decade. - Highlights: → We exploit a model based on pricing-to-market behavior. → Price discrimination by Swiss exporters is found. → Nordic electricity markets are found to be already highly integrated. → Market integration was recently improved in continental area. → Results are consistent with reforms under the 'Second Legislative Package'.

  8. Cross-border integration in the European electricity market. Evidence from the pricing behavior of Norwegian and Swiss exporters

    Energy Technology Data Exchange (ETDEWEB)

    Balaguer, Jacint, E-mail: jacint.balaguer@eco.uji.es [Department of Economics, Universitat Jaume I, 12071 Castellon (Spain)

    2011-09-15

    This paper examines the electricity market integration process in two European areas based on the pricing behavior of Norwegian and Swiss exporters. The aim is to gain evidence for the period after the adoption of the 'Second Legislative Package' (2003). The pricing behavior of Norwegian exporters indicates that the wholesale markets for Denmark and Sweden are highly integrated. Moreover, results are fully compatible with the existence of a very competitive marketplace for electricity. This clearly contrasts with the evidence provided by Swiss exporters. In this last case, analysis revealed differences in pricing-to-market behavior between Italy, France and Germany, which indicates that exporters take advantage of international market segmentation and divergences between market structures. This outcome provides a reasonable explanation as to why price differences between countries cannot be fully attributed to transmission costs, as has been claimed in previous research. We also found cross-country convergence in levels of markups and in pricing-to-market behavior of the Swiss exporters for the first part of the period that was analyzed. The evidence is fully consistent with an initial impulse toward market integration originated by reforms implemented at the beginning of the last decade. - Highlights: > We exploit a model based on pricing-to-market behavior. > Price discrimination by Swiss exporters is found. > Nordic electricity markets are found to be already highly integrated. > Market integration was recently improved in continental area. > Results are consistent with reforms under the 'Second Legislative Package'.

  9. A Textual Feedback Tool for Empowering Participants in Usability and UX Evaluations

    DEFF Research Database (Denmark)

    Sivaji, Ashok; Clemmensen, Torkil; Nielsen, Søren Feodor

    2017-01-01

    -educated, but low-status, users in UX evaluations in countries and contexts with high power distances. The proposed tool contributes to the HCI community’s pool of localized UX evaluation tools. We evaluate the tool with 40 users from two socio-economic groups in real-life UX usability evaluations setting...... in Malaysia. The results indicate that the Textual Feedback tool may help participants to give their thoughts in UX evaluation in high power distance contexts. In particular, the Textual Feedback tool helps high status females and low status males express more UX problems than they can do with traditional CTA...... alone. We found that classic concurrent think aloud UX evaluation works fine in high power contexts, but only with the addition of Textual feedback to mitigate the effects of socio-economic status in certain user groups. We suggest that future research on UX evaluation look more into how to empower...

  10. Combining textual and visual information for image retrieval in the medical domain.

    Science.gov (United States)

    Gkoufas, Yiannis; Morou, Anna; Kalamboukis, Theodore

    2011-01-01

    In this article we have assembled the experience obtained from our participation in the imageCLEF evaluation task over the past two years. Exploitation on the use of linear combinations for image retrieval has been attempted by combining visual and textual sources of images. From our experiments we conclude that a mixed retrieval technique that applies both textual and visual retrieval in an interchangeably repeated manner improves the performance while overcoming the scalability limitations of visual retrieval. In particular, the mean average precision (MAP) has increased from 0.01 to 0.15 and 0.087 for 2009 and 2010 data, respectively, when content-based image retrieval (CBIR) is performed on the top 1000 results from textual retrieval based on natural language processing (NLP).

  11. Integrating Radiology and Anatomy Teaching in Medical Education in the UK--The Evidence, Current Trends, and Future Scope.

    Science.gov (United States)

    Heptonstall, N B; Ali, T; Mankad, K

    2016-04-01

    This review article presents the current evidence of the importance of integrating radiology and anatomy in medical education in the UK, a recommendation by a number of key anatomy, education, and radiology organizations. Current evidence highlights that on average only 5% of total teaching time in medical education is dedicated to radiology. Often, radiology teaching does not adequately fulfill students' learning needs and potentially leaves them underprepared for medical practice. Benefits of integrating radiology and anatomy include improved clinical application of anatomy, an increase in student's interest in anatomy, and ultimately improved radiological interpretation. Various modalities exist for the integration of radiology and anatomy, facilitated by the vast portability of radiological images. It appears that combining radiological resources with traditional anatomy teaching methodology in a blended approach is most beneficial. Copyright © 2016 The Association of University Radiologists. Published by Elsevier Inc. All rights reserved.

  12. Integrating chemical and biological status assessment: Assembling lines of evidence for the evaluation of river ecosystem risk

    International Nuclear Information System (INIS)

    Munoz Gracia, Isabel; Sabater, Sergi

    2014-01-01

    This paper describes various approaches to evaluating ecological risk in rivers affected by multiple chemical stressors, with emphasis on biofilm and invertebrate community responses. Metrics should be considered as different lines of evidence that, when weighted, form an advanced weight of evidence approach to establishing the environmental risk on a basin scale. Combination of field surveys to obtain observational data of communities, in situ experiments, toxicological sediment tests and a good chemical description of the medium (water and sediment) helps give an integrative view of the chemical and biological state of a river ecosystem. The greater and more distinct the variables used, the greater is our ability to identify the effects of major stressors impairing communities. Weight of evidence is an integrative methodology for tackling the challenge of determining causal relations and applying this knowledge in the decision-making processes of river management.

  13. Mechanisms of Percept-Percept and Image-Percept Integration in Vision: Behavioral and Electrophysiological Evidence

    Science.gov (United States)

    Dalvit, Silvia; Eimer, Martin

    2011-01-01

    Previous research has shown that the detection of a visual target can be guided not only by the temporal integration of two percepts, but also by integrating a percept and an image held in working memory. Behavioral and event-related brain potential (ERP) measures were obtained in a target detection task that required temporal integration of 2…

  14. Evidence Integration in Natural Acoustic Textures during Active and Passive Listening.

    Science.gov (United States)

    Górska, Urszula; Rupp, Andre; Boubenec, Yves; Celikel, Tansu; Englitz, Bernhard

    2018-01-01

    Many natural sounds can be well described on a statistical level, for example, wind, rain, or applause. Even though the spectro-temporal profile of these acoustic textures is highly dynamic, changes in their statistics are indicative of relevant changes in the environment. Here, we investigated the neural representation of change detection in natural textures in humans, and specifically addressed whether active task engagement is required for the neural representation of this change in statistics. Subjects listened to natural textures whose spectro-temporal statistics were modified at variable times by a variable amount. Subjects were instructed to either report the detection of changes (active) or to passively listen to the stimuli. A subset of passive subjects had performed the active task before (passive-aware vs passive-naive). Psychophysically, longer exposure to pre-change statistics was correlated with faster reaction times and better discrimination performance. EEG recordings revealed that the build-up rate and size of parieto-occipital (PO) potentials reflected change size and change time. Reduced effects were observed in the passive conditions. While P2 responses were comparable across conditions, slope and height of PO potentials scaled with task involvement. Neural source localization identified a parietal source as the main contributor of change-specific potentials, in addition to more limited contributions from auditory and frontal sources. In summary, the detection of statistical changes in natural acoustic textures is predominantly reflected in parietal locations both on the skull and source level. The scaling in magnitude across different levels of task involvement suggests a context-dependent degree of evidence integration.

  15. Reality of near-death-experience memories: Evidence from a psychodynamic and electrophysiological integrated study

    Directory of Open Access Journals (Sweden)

    Arianna ePalmieri

    2014-06-01

    Full Text Available The nature of near-death experiences (NDEs is largely unknown but recent evidence suggests the intriguing possibility that NDEs may refer to actually perceived, and stored, experiences (although not necessarily in relation to the external physical world. We adopted an integrated approach involving a hypnosis-based clinical protocol to improve recall and decrease memory inaccuracy together with Electroencephalography (EEG recording in order to investigate the characteristics of NDE memories and their neural markers compared to memories of both real and imagined events. We included 10 participants with NDEs, defined by the Greyson NDE scale, and 10 control subjects without NDE. Memories were assessed using the Memory Characteristics Questionnaire.Our hypnosis-based protocol increased the amount of details in the recall of all kind of memories considered (NDE, real, and imagined events. Findings showed that NDE memories were similar to real memories in terms of detail richness, self-referential, and emotional information. Moreover, NDE memories were significantly different from memories of imagined events. The pattern of EEG results indicated that real memories recall was positively associated with two memory-related frequency bands, i.e., high alpha and gamma. NDE memories were linked with theta band, a well-known marker of episodic memory. The recall of NDE memories was also related to delta band, which indexes processes such as the recollection of the past, as well as trance states, hallucinations, and other related portals to transpersonal experience. It is notable that the EEG pattern of correlations for NDE memories recall differed from the pattern for memories of imagined events. In conclusion, our findings suggest that, at a phenomenological level, NDE memories cannot be considered equivalent to imagined memories, and at a neural level, NDE memories are stored as episodic memories of events experienced in a peculiar state of consciousness.

  16. Achieving Adherence to Evidence-Based Practices: Are Health IT and Hospital-Physician Integration Complementary or Substitutive Strategies?

    Science.gov (United States)

    Everson, Jordan; Lee, Shoou-Yih Daniel; Adler-Milstein, Julia

    2016-12-01

    In response to evolving policies and conditions, hospitals have increased health information technology (HIT) adoption and strived to improve hospital-physician integration. While evidence suggests that both HIT and integration confer independent benefits, when combined, they may provide complementary means to achieve high performance or overlap to offset each other's contribution. We explore this relationship in the context of hospital adherence to evidence-based practices (EBPs). Using the American Hospital Association's Annual and IT Supplement surveys, and Centers for Medicare and Medicaid Services's Hospital Compare, we estimate the independent relationships and interactions between HIT and hospital-physician integration with respect to EBP adherence. HIT adoption and tight (but not loose) integration are independently associated with greater adherence to EBPs. The interaction between HIT adoption and tight integration is negative, consistent with an offsetting association between HIT adoption and integration in their relationship to EBP adherence. This finding reveals the need to be aware of potential substitutive effects from simultaneous pursuit of multiple approaches to performance improvement. © The Author(s) 2016.

  17. Viagem, identidade e memória textual em Antonio Tabucchi

    OpenAIRE

    Melissa Cobra Torre

    2012-01-01

    Esta dissertação apresenta uma reflexão sobre a viagem, a identidade, o jogo e a memória textual na obra de Antonio Tabucchi, tendo em vista o romance 'Noturno Indiano' e os contos 'A frase a seguir é falsa. A frase anterior é verdadeira', 'Il gioco del rovescio', 'Piccoli equivoci senza importanza' e 'I treni che vanno a Madras'. Tem como objetivos repensar o tema da viagem em 'Noturno Indiano'; enfocar a questão da identidade no referido romance; discutir o jogo textual em 'Noturno Indiano'...

  18. Comparison of CTA and Textual Feedback in Usability Testing for Malaysian Users

    DEFF Research Database (Denmark)

    Sivaji, Ashok; Clemmensen, Torkil; Nielsen, Søren Feodor

    Usability moderators found that the concurrent think-aloud (CTA) method has some cultural limitation that impacts usability testing with Malaysian users. This gives rise to proposing a new method called textual feedback. The research question is to determine whether there are any differences...... in usability defects from the concurrent think-aloud (CTA) method (Condition 2) and textual feedback method (Condition 1) within the same group of Malaysian users. A pair-wise t-test was used, whereby users were subjected to performing usability task using both methods. Results reveal that we can reject...

  19. THE POTENCIALITY OF TRANSMEDIA NARRATIVE AND THE PRACTICE OF READING AND TEXTUAL PRODUCTION

    Directory of Open Access Journals (Sweden)

    Daniella de Jesus Lima

    2017-08-01

    Full Text Available In this article we have reflect on the digital culture and its implications in education field, emphasizing the characteristics of the transmedia narrative. The objectives were to discuss the relationship between transmediation and the education, based on the methodology of teaching of textual genres with students of the social communication course - journalism of a private university in the brazilian northeast. We also used as methodology the bibliographic research and participant observation. As a result, we conclude that the elements of the transmedia narrative in the students's textual production have presented advantages and improvements for the educational process.

  20. Development of an Online and Offline Integration Hypothesis for Healthy Internet Use: Theory and Preliminary Evidence.

    Science.gov (United States)

    Lin, Xiaoyan; Su, Wenliang; Potenza, Marc N

    2018-01-01

    The Internet has become an integral part of our daily life, and how to make the best use of the Internet is important to both individuals and the society. Based on previous studies, an Online and Offline Integration Hypothesis is proposed to suggest a framework for considering harmonious and balanced Internet use. The Integration Hypothesis proposes that healthier patterns of Internet usage may be achieved through harmonious integration of people's online and offline worlds. An online/offline integration is proposed to unite self-identity, interpersonal relationships, and social functioning with both cognitive and behavioral aspects by following the principles of communication, transfer, consistency, and "offline-first" priorities. To begin to test the hypothesis regarding the relationship between integration level and psychological outcomes, data for the present study were collected from 626 undergraduate students (41.5% males). Participants completed scales for online and offline integration, Internet addiction, pros and cons of Internet use, loneliness, extraversion, and life satisfaction. The findings revealed that subjects with higher level of online/offline integration have higher life satisfaction, greater extraversion, and more positive perceptions of the Internet and less loneliness, lower Internet addiction, and fewer negative perceptions of the Internet. Integration mediates the link between extraversion and psychological outcomes, and it may be the mechanism underlying the difference between the "rich get richer" and social compensation hypotheses. The implications of the online and offline integration hypothesis are discussed.

  1. Development of an Online and Offline Integration Hypothesis for Healthy Internet Use: Theory and Preliminary Evidence

    Directory of Open Access Journals (Sweden)

    Xiaoyan Lin

    2018-04-01

    Full Text Available The Internet has become an integral part of our daily life, and how to make the best use of the Internet is important to both individuals and the society. Based on previous studies, an Online and Offline Integration Hypothesis is proposed to suggest a framework for considering harmonious and balanced Internet use. The Integration Hypothesis proposes that healthier patterns of Internet usage may be achieved through harmonious integration of people’s online and offline worlds. An online/offline integration is proposed to unite self-identity, interpersonal relationships, and social functioning with both cognitive and behavioral aspects by following the principles of communication, transfer, consistency, and “offline-first” priorities. To begin to test the hypothesis regarding the relationship between integration level and psychological outcomes, data for the present study were collected from 626 undergraduate students (41.5% males. Participants completed scales for online and offline integration, Internet addiction, pros and cons of Internet use, loneliness, extraversion, and life satisfaction. The findings revealed that subjects with higher level of online/offline integration have higher life satisfaction, greater extraversion, and more positive perceptions of the Internet and less loneliness, lower Internet addiction, and fewer negative perceptions of the Internet. Integration mediates the link between extraversion and psychological outcomes, and it may be the mechanism underlying the difference between the “rich get richer” and social compensation hypotheses. The implications of the online and offline integration hypothesis are discussed.

  2. Development of an Online and Offline Integration Hypothesis for Healthy Internet Use: Theory and Preliminary Evidence

    Science.gov (United States)

    Lin, Xiaoyan; Su, Wenliang; Potenza, Marc N.

    2018-01-01

    The Internet has become an integral part of our daily life, and how to make the best use of the Internet is important to both individuals and the society. Based on previous studies, an Online and Offline Integration Hypothesis is proposed to suggest a framework for considering harmonious and balanced Internet use. The Integration Hypothesis proposes that healthier patterns of Internet usage may be achieved through harmonious integration of people’s online and offline worlds. An online/offline integration is proposed to unite self-identity, interpersonal relationships, and social functioning with both cognitive and behavioral aspects by following the principles of communication, transfer, consistency, and “offline-first” priorities. To begin to test the hypothesis regarding the relationship between integration level and psychological outcomes, data for the present study were collected from 626 undergraduate students (41.5% males). Participants completed scales for online and offline integration, Internet addiction, pros and cons of Internet use, loneliness, extraversion, and life satisfaction. The findings revealed that subjects with higher level of online/offline integration have higher life satisfaction, greater extraversion, and more positive perceptions of the Internet and less loneliness, lower Internet addiction, and fewer negative perceptions of the Internet. Integration mediates the link between extraversion and psychological outcomes, and it may be the mechanism underlying the difference between the “rich get richer” and social compensation hypotheses. The implications of the online and offline integration hypothesis are discussed. PMID:29706910

  3. Variations in Textualization: A Cross-Generic and Cross-Disciplinary Study, Implications for Readability of the Academic Discourse

    Science.gov (United States)

    Bonabi, Mina Abbasi; Lotfipour-Saedi, Kazem; Hemmati, Fatemeh; Jafarigohar, Manoochehr

    2018-01-01

    According to discoursal views on language, variations in textualization strategies are always sociocontextually motivated and never happen at random. The textual forms employed in a text, along with many other discoursal and contextual factors, could certainly affect the readability of the text, making it more or less processable for the same…

  4. Performance Sustainability and Integrated Reporting: Empirical Evidence from Mandatory and Voluntary Adoption Contexts

    Directory of Open Access Journals (Sweden)

    Salvatore Loprevite

    2018-04-01

    Full Text Available This paper looks at the topic of regulation of integrated reporting for listed companies, with the aim of contributing to the debate on the usefulness of introducing a mandatory regime, both from the perspective of integrated performance sustainability of companies and from that of relevance of information for providers of financial capital. The study is based on empirical research carried out on a sample composed of companies operating in territories where the adoption of integrated reporting is voluntary (Europe and those operating in a country where adoption is mandatory (South Africa. The research shows that (a in voluntary regimes, levels of integrated performance achieved by companies are higher; (b mandatory regulation produces positive effects on integrated performance levels in the medium term; (c integrated performance indicators are value-relevant, though having different levels of relevance under the two regimes examined.

  5. The Empirical Evidence on Government Bond Market Integration in East Asia

    Directory of Open Access Journals (Sweden)

    Lian Liu

    2016-03-01

    Full Text Available This research intends to investigate the progress made in East Asian bond market integration thus far. Price-based measures (AAD indicator and beta-convergence measure, quantity-based measures and econometric techniques (co-integration test, error correction model based Granger causality test are employed in the analysis. Even though East Asian government bond markets have become more integrated since 2001, the differentials among the markets still remain significantly high. The bond market integration process seems slow. The convergence of bond markets sped up in 2003 and after the 2008 world financial crisis, implying the important role of government policies in integrating the regional bond markets. East Asian bond market integration may need more government-directed measures.

  6. Using pedagogical approaches to influence evidence-based practice integration - processes and recommendations: findings from a grounded theory study.

    Science.gov (United States)

    Malik, Gulzar; McKenna, Lisa; Griffiths, Debra

    2017-04-01

    The study aimed to explore the processes undertaken by nurse academics when integrating evidence-based practice (EBP) into their teaching and learning practices. This article focuses on pedagogical approaches employed by academics to influence evidence-based practice integration into undergraduate programs across Australian universities. Nursing academics are challenged to incorporate a variety of teaching and learning strategies to teach evidence-based practice and determine their effectiveness. However, literature suggests that there are limited studies available focusing on pedagogical approaches in evidence-based practice education. A constructivist grounded theory methodology, informed by Charmaz was used for this study. Data were collected during 2014 from 23 nurse academics across Australian universities through semi-structured interviews. Additionally, nine were observed during teaching of undergraduate students. Twenty subject outlines were also analysed following Charmaz's approach of data analysis. 'Influencing EBP integration' describes the pedagogical approaches employed by academics to incorporate EBP knowledge and skills into undergraduate curricula. With the use of various teaching and learning strategies, academics attempted to contextualize EBP by engaging students with activities aiming to link evidence to practice and with the EBP process. Although, some strategies appeared to be engaging, others were traditional and seemed to be disengaging for students due to the challenges experienced by participants that impeded the use of the most effective teaching methods. Study findings offer valuable insights into the teaching practices and identify some key challenges that require the adoption of appropriate strategies to ensure future nurses are well prepared in the paradigm of evidence-based practice. © 2016 John Wiley & Sons Ltd.

  7. Do tipo textual ao gênero de texto. A redação no vestibular / From textual type to textual genre. The essay in the university entrance exam

    Directory of Open Access Journals (Sweden)

    Maria Helena Cruz Pistori

    2012-06-01

    Full Text Available Os atuais documentos oficiais elaborados pelo Ministério da Educação no Brasil têm preconizado o ensino da produção textual por meio do gênero - discursivo ou textual. Seguindo essa linha, o exame vestibular de ingresso a uma das maiores universidades paulistas de 2011 também solicitou dos candidatos a elaboração de três textos, de diferentes gêneros. Com o objetivo de verificar que horizontes teórico-metodológicos fundamentaram a elaboração daquele exame, analisamos os textos do (1 Manual do Candidato, da (2 Prova de redação e da (3 Expectativa da banca. Nosso parâmetro teórico é o conceito de gênero discursivo conforme desenvolvido pelos membros do Círculo de Bakhtin desde 1920. Observamos, então, como essa nova proposta visa avaliar as características que a Universidade espera encontrar em cada um de seus alunos; como utiliza o arsenal teórico nos textos analisados e como garante a avaliação da capacidade argumentativa dos candidatos. Finalmente, sugerimos a possibilidade de trabalho com o gênero “dissertação escolar”.Today's official documents drawn up by the Ministry of Education in Brazil have advocated that textual production should be taught by the concepts of speech genre or textual genre. Following this guideline, the 2011 edition of the entrance exam, vestibular, of one of the most important universities in the state of São Paulo, Brazil, asked its candidates to write three texts, each one belonging to a different genre. In order to verify the theoretical-methodological horizons that motivated the elaboration of that exam, we analyzed the texts of (1 the candidate's guidelines, (2 the examination essay and (3 the expectations set by the examiners. Our theoretical perspective is the concept of discursive genre as developed by the members of the Bakhtin Circle since 1920. Then, we observe how this new proposal aims at evaluating the characteristics that the University expects to find in each one of

  8. Global Value Chain Integration and Productivity : Evidence from Enterprise Surveys in Namibia, South Africa, and Swaziland

    OpenAIRE

    Winkler, Deborah; Farole, Thomas

    2015-01-01

    In order to adequately measure a firm’s participation in GVCs in this context, it is important to first identify the different forms through which GVC integration can affect domestic firms’ productivity. Integrating a country’s domestic suppliers into GVCs increases the possibility for productivity gains through exporting to a buyer abroad or supplying to a multinational in the country. Bu...

  9. Integrity violations and corruption in Western public governance: Empirical evidence and reflection from the Netherlands

    NARCIS (Netherlands)

    de Graaf, Gjalt; Huberts, L.W.J.C.; Strüwer, T.

    2018-01-01

    How often integrity violations occur in Western governance, and the precise nature of these violations, is as yet not very clear. Data on this subject—drawn from experience in the Netherlands—are presented here. The main research question is: What is the scale of integrity violations within Dutch

  10. Conceptual Integration of Arithmetic Operations with Real-World Knowledge: Evidence from Event-Related Potentials

    Science.gov (United States)

    Guthormsen, Amy M.; Fisher, Kristie J.; Bassok, Miriam; Osterhout, Lee; DeWolf, Melissa; Holyoak, Keith J.

    2016-01-01

    Research on language processing has shown that the disruption of conceptual integration gives rise to specific patterns of event-related brain potentials (ERPs)--N400 and P600 effects. Here, we report similar ERP effects when adults performed cross-domain conceptual integration of analogous semantic and mathematical relations. In a problem-solving…

  11. Predicting Learning-Related Emotions from Students' Textual Classroom Feedback via Twitter

    Science.gov (United States)

    Altrabsheh, Nabeela; Cocea, Mihaela; Fallahkhair, Sanaz

    2015-01-01

    Teachers/lecturers typically adapt their teaching to respond to students' emotions, e.g. provide more examples when they think the students are confused. While getting a feel of the students' emotions is easier in small settings, it is much more difficult in larger groups. In these larger settings textual feedback from students could provide…

  12. The Textualization of Problem Handling: Lean Discourses Meet Professional Competence in Eldercare and the Manufacturing Industry

    Science.gov (United States)

    Karlsson, Anna-Malin; Nikolaidou, Zoe

    2016-01-01

    This article reports on research addressing the role of incident reporting at the workplace as a textual representation of lean management techniques. It draws on text and discourse analysis as well as on ethnographic data, including interviews, recorded interaction, and observations, from two projects on workplace literacy in Sweden: a study in…

  13. The Effects of Visual and Textual Annotations on Spanish Listening Comprehension, Vocabulary Acquisition and Cognitive Load

    Science.gov (United States)

    Cottam, Michael Evan

    2010-01-01

    The purpose of this experimental study was to investigate the effects of textual and visual annotations on Spanish listening comprehension and vocabulary acquisition in the context of an online multimedia listening activity. 95 students who were enrolled in different sections of first year Spanish classes at a community college and a large…

  14. Absorbing stories : The effects of textual devices on absorption and evaluative responses

    NARCIS (Netherlands)

    Kuijpers, Moniek

    2014-01-01

    In previous research on absorption, the focus has been primarily on the reader
and only little systematic empirical investigation of the possible textual determinants of absorption has been conducted. Furthermore, no attention has been paid to the relationship between aesthetic experiences, such as

  15. Perceptions and Beliefs about Textual Appropriation and Source Use in Second Language Writing

    Science.gov (United States)

    Polio, Charlene; Shi, Ling

    2012-01-01

    Perceptions and judgments on plagiarism or acceptable use of source texts are contingent on one's interpretations and experiences in reading and writing academic texts in a specific disciplinary context. The lack of consensus on what is acceptable textual appropriation in student writing has led to the scholarship on perceptions of textual…

  16. Teach for America's Long Arc: A Critical Race Theory Textual Analysis of Wendy Kopp's Works

    Science.gov (United States)

    Barnes, Michael C.; Germain, Emily K.; Valenzuela, Angela

    2016-01-01

    We read and analyzed 165,000 words and uncover a series of counter-stories buried within a textual corpus, authored by Teach For America (TFA) founder Wendy Kopp (Kopp, 1989, 2001; Kopp & Farr, 2011), that offers insight into the forms of racism endemic to Teach For America. All three counter-stories align with a critical race theory (CRT)…

  17. Arguing in L2: Discourse Structure and Textual Metadiscourse in Philippine Newspaper Editorials

    Science.gov (United States)

    Tarrayo, Veronico N.; Duque, Marie Claire T.

    2011-01-01

    This study described the discourse structure and textual metadiscourse in newspaper editorials in the Philippines where English is used as a second language or L2. Specifically, it sought answers to the following questions: (1) What discourse features characterize the structure of the following parts of Philippine newspaper editorials--orientation…

  18. Exploration of Textual Interactions in CALL Learning Communities: Emerging Research and Opportunities

    Science.gov (United States)

    White, Jonathan R.

    2017-01-01

    Computer-assisted language learning (CALL) has greatly enhanced the realm of online social interaction and behavior. In language classrooms, it allows the opportunity for students to enhance their learning experiences. "Exploration of Textual Interactions in CALL Learning Communities: Emerging Research and Opportunities" is an ideal…

  19. Discourses of Plagiarism: Moralist, Proceduralist, Developmental and Inter-Textual Approaches

    Science.gov (United States)

    Kaposi, David; Dell, Pippa

    2012-01-01

    This paper reconstructs prevalent academic discourses of student plagiarism: moralism, proceduralism, development, and writing/inter-textuality. It approaches the discourses from three aspects: intention, interpretation and the nature of the academic community. It argues that the assumptions of the moralistic approach regarding suspect intention,…

  20. How Well Do Student Nurses Write Case Studies? A Cohesion-Centered Textual Complexity Analysis

    NARCIS (Netherlands)

    Dascalu, Mihai; Dessus, Philippe; Thuez, Laurent; Trausan-Matu, Stefan

    2017-01-01

    Starting from the presumption that writing style is proven to be a reliable predictor of comprehension, this paper investigates the extent to which textual complexity features of nurse students’ essays are related to the scores they were given. Thus, forty essays about case studies on infectious

  1. Relational Data Modelling of Textual Corpora: The Skaldic Project and its Extensions

    DEFF Research Database (Denmark)

    Wills, Tarrin Jon

    2015-01-01

    Skaldic poetry is a highly complex textual phenomenon both in terms of the intricacy of the poetry and its contextual environment. Extensible Markup Language (XML) applications such as that of the Text Encoding Initiative provide a means of semantic representation of some of these complexities. XML...

  2. A Linguistic Approach to Identify the Affective Dimension Expressed in Textual Messages

    Science.gov (United States)

    Rigo, Sandro José; da Rosa Alves, Isa Mara; Victória Barbosa, Jorge Luis

    2015-01-01

    The digital mediation resources used in Distance Education can hinder the teacher's perception about the student's state of mind. However, the textual expression in natural language is widely encouraged in most Distance Education courses, through the use of Virtual Learning Environments and other digital tools. This fact has motivated research…

  3. Use of a Modified Chaining Procedure with Textual Prompts to Establish Intraverbal Storytelling

    Science.gov (United States)

    Valentino, Amber L.; Conine, Daniel E.; Delfs, Caitlin H.; Furlow, Christopher M.

    2015-01-01

    Echoic, tact, and textual transfer procedures have been proven successful in establishing simple intraverbals (Braam and Poling "Applied Research in Mental Retardation," 4, 279-302, 1983; Luciano "Applied Research in Mental Retardation," 102, 346-357, 1986; Watkins et al. "The Analysis of Verbal Behavior," 7, 69-81,…

  4. A New Framework for Textual Information Mining over Parse Trees. CRESST Report 805

    Science.gov (United States)

    Mousavi, Hamid; Kerr, Deirdre; Iseli, Markus R.

    2011-01-01

    Textual information mining is a challenging problem that has resulted in the creation of many different rule-based linguistic query languages. However, these languages generally are not optimized for the purpose of text mining. In other words, they usually consider queries as individuals and only return raw results for each query. Moreover they…

  5. Effects of Textual Enhancement and Input Enrichment on L2 Development

    Science.gov (United States)

    Rassaei, Ehsan

    2015-01-01

    Research on second language (L2) acquisition has recently sought to include formal instruction into second and foreign language classrooms in a more unobtrusive and implicit manner. Textual enhancement and input enrichment are two techniques which are aimed at drawing learners' attention to specific linguistic features in input and at the same…

  6. Analyzing Student Performance and Attitudes toward Textual versus Iconic Programming Languages

    Science.gov (United States)

    Lin, Janet Mei-Chuen; Yang, Mei-Ching

    2009-01-01

    In this study half of 52 sixth graders learned to program in MSWLogo and the other half in Drape. An analysis of students' test scores revealed that Drape (an iconic language) seemed to have a steeper learning curve than MSWLogo (a textual language). However, as students gradually became more familiar with either language, the difference in…

  7. Sharing information books with kindergartners: The role of parents’ extra-textual talk and socioeconomic status

    NARCIS (Netherlands)

    Mol, S.E.; Neuman, S.B.

    2014-01-01

    The purpose of the study was to explore how features of parent-child extra-textual talk during information book-sharing might vary across different socioeconomic backgrounds, and to determine if certain interactional patterns might mediate their effects on children's receptive and expressive

  8. Fostering integrity in postgraduate research: an evidence-based policy and support framework.

    Science.gov (United States)

    Mahmud, Saadia; Bretag, Tracey

    2014-01-01

    Postgraduate research students have a unique position in the debate on integrity in research as students and novice researchers. To assess how far policies for integrity in postgraduate research meet the needs of students as "research trainees," we reviewed online policies for integrity in postgraduate research at nine particular Australian universities against the Australian Code for Responsible Conduct of Research (the Code) and the five core elements of exemplary academic integrity policy identified by Bretag et al. (2011 ), i.e., access, approach, responsibility, detail, and support. We found inconsistency with the Code in the definition of research misconduct and a lack of adequate detail and support. Based on our analysis, previous research, and the literature, we propose a framework for policy and support for postgraduate research that encompasses a consistent and educative approach to integrity maintained across the university at all levels of scholarship and for all stakeholders.

  9. Cochrane Qualitative and Implementation Methods Group guidance series-paper 5: methods for integrating qualitative and implementation evidence within intervention effectiveness reviews.

    Science.gov (United States)

    Harden, Angela; Thomas, James; Cargo, Margaret; Harris, Janet; Pantoja, Tomas; Flemming, Kate; Booth, Andrew; Garside, Ruth; Hannes, Karin; Noyes, Jane

    2018-05-01

    The Cochrane Qualitative and Implementation Methods Group develops and publishes guidance on the synthesis of qualitative and mixed-method evidence from process evaluations. Despite a proliferation of methods for the synthesis of qualitative research, less attention has focused on how to integrate these syntheses within intervention effectiveness reviews. In this article, we report updated guidance from the group on approaches, methods, and tools, which can be used to integrate the findings from quantitative studies evaluating intervention effectiveness with those from qualitative studies and process evaluations. We draw on conceptual analyses of mixed methods systematic review designs and the range of methods and tools that have been used in published reviews that have successfully integrated different types of evidence. We outline five key methods and tools as devices for integration which vary in terms of the levels at which integration takes place; the specialist skills and expertise required within the review team; and their appropriateness in the context of limited evidence. In situations where the requirement is the integration of qualitative and process evidence within intervention effectiveness reviews, we recommend the use of a sequential approach. Here, evidence from each tradition is synthesized separately using methods consistent with each tradition before integration takes place using a common framework. Reviews which integrate qualitative and process evaluation evidence alongside quantitative evidence on intervention effectiveness in a systematic way are rare. This guidance aims to support review teams to achieve integration and we encourage further development through reflection and formal testing. Copyright © 2017 Elsevier Inc. All rights reserved.

  10. The Desire for Amputation or Paralyzation: Evidence for Structural Brain Anomalies in Body Integrity Identity Disorder (BIID)

    OpenAIRE

    Blom, Rianne M; van Wingen, Guido A; van der Wal, Sija J; Luigjes, Judy; van Dijk, Milenna T; Scholte, H Steven; Denys, D.

    2016-01-01

    BACKGROUND: Body Integrity Identity Disorder (BIID) is a condition in which individuals perceive a mismatch between their internal body scheme and physical body shape, resulting in an absolute desire to be either amputated or paralyzed. The condition is hypothesized to be of congenital nature, but evidence for a neuro-anatomical basis is sparse. METHODS: We collected T1-weighted structural magnetic resonance imaging scans on a 3T scanner in eight individuals with BIID and 24 matched healthy c...

  11. Integrative review of implementation strategies for translation of research-based evidence by nurses.

    Science.gov (United States)

    Wuchner, Staci S

    2014-01-01

    The purpose of this review was to synthesize and critique experimental and/or quasi-experimental research that has evaluated implementation strategies for translation of research-based evidence into nursing practice. Successfully implementing evidence-based research can improve patient outcomes. Identifying successful implementation strategies is imperative to move research-based evidence into practice. As implementation science gains popularity, it is imperative to understand the strategies that most effectively translate research-based evidence into practice. The review used the CINAHL and MEDLINE (Ovid) databases. Articles were included if they were experimental and/or quasi-experimental research designs, were written in English, and measured nursing compliance to translation of research-based evidence. An independent review was performed to select and critique the included articles. A wide array of interventions were completed, including visual cues, audit and feedback, educational meetings and materials, reminders, outreach, and leadership involvement. Because of the complex multimodal nature of the interventions and the variety of research topics, comparison across interventions was difficult. Many difficulties exist in determining what implementation strategies are most effective for translation of research-based evidence into practice by nurses. With these limited findings, further research is warranted to determine which implementation strategies most successfully translate research-based evidence into practice.

  12. Emotional Intensity Modulates the Integration of Bimodal Angry Expressions: ERP Evidence

    Directory of Open Access Journals (Sweden)

    Zhihui Pan

    2017-06-01

    Full Text Available Integration of information from face and voice plays a central role in social interactions. The present study investigated the modulation of emotional intensity on the integration of facial-vocal emotional cues by recording EEG for participants while they were performing emotion identification task on facial, vocal, and bimodal angry expressions varying in emotional intensity. Behavioral results showed the rates of anger and reaction speed increased as emotional intensity across modalities. Critically, the P2 amplitudes were larger for bimodal expressions than for the sum of facial and vocal expressions for low emotional intensity stimuli, but not for middle and high emotional intensity stimuli. These findings suggested that emotional intensity modulates the integration of facial-vocal angry expressions, following the principle of Inverse Effectiveness (IE in multimodal sensory integration.

  13. A review and integration of empirical evidence on internal economy in marketing channel relationships

    DEFF Research Database (Denmark)

    Jensen, Nils Bøgelund; Skytte, Hans

    Papiret gennemgår empirisk forskning omkring intern økonomi i distributionskanaler. Ved intern økonomi forstås graden af vertikal integration og beslutningsprocesser i distributionskanaler. På basis af gennemgangen diskuteres konklusioner og resultaterne integreres....

  14. Do Ethnic Enclaves Impede Immigrants’ Integration? Evidence from a Quasi-Experimental Social-Interaction Approach

    OpenAIRE

    Danzer, A. M.; Yaman, F.

    2013-01-01

    It is widely debated whether immigrants who live among co-ethnics are less willing to integrate into the host society. Exploiting the quasi-experimental guest worker placement across German regions during the 1960/70s as well as information on immigrants’ inter-ethnic contact networks and social activities, we are able to identify the causal effect of ethnic concentration on social integration. The exogenous placement of immigrants "switches off" observable and unobservable differences in t...

  15. Narrating practice: reflective accounts and the textual construction of reality.

    Science.gov (United States)

    Taylor, Carolyn

    2003-05-01

    Two approaches dominate current thinking in health and welfare: evidence-based practice and reflective practice. Whilst there is debate about the merits of evidence-based practice, reflective practice is generally accepted with critical debate as an important educational tool. Where critique does exist it tends to adopt a Foucauldian approach, focusing on the surveillance and self-regulatory aspects of reflective practice. This article acknowledges the critical purchase on the concept of reflective practice offered by Foucauldian approaches but argues that microsociological and discourse analytic approaches can further illuminate the subject and thus serve as a complement to them. The claims of proponents of reflective practice are explored, in opposition to the technical-rational approach of evidence-based practice. Reflective practice tends to adopt a naive or romantic realist position and fails to acknowledge the ways in which reflective accounts construct the world of practice. Microsociological approaches can help us to understand reflective accounts as examples of case-talk, constructed in a narrative form in the same way as case records and presentations.

  16. The SCIDOTS Project: Evidence of benefits of an integrated tobacco cessation intervention in tuberculosis care on treatment outcomes

    Directory of Open Access Journals (Sweden)

    Syed Sulaiman Syed Azhar

    2011-09-01

    Full Text Available Abstract Background There is substantial evidence to support the association between tuberculosis (TB and tobacco smoking and that the smoking-related immunological abnormalities in TB are reversible within six weeks of cessation. Therefore, connecting TB and tobacco cessation interventions may produce significant benefits and positively impact TB treatment outcomes. However, no study has extensively documented the evidence of benefits of such integration. SCIDOTS Project is a study from the context of a developing nation aimed to determine this. Methods An integrated TB-tobacco intervention was provided by trained TB directly observed therapy short-course (DOTS providers at five chest clinics in Malaysia. The study was a prospective non-randomized controlled intervention using quasi-experimental design. Using Transtheoretical Model approach, 120 eligible participants who were current smokers at the time of TB diagnosis were assigned to either of two treatment groups: conventional TB DOTS plus smoking cessation intervention (integrated intervention or SCIDOTS group or conventional TB DOTS alone (comparison or DOTS group. At baseline, newly diagnosed TB patients considering quitting smoking within the next 30 days were placed in the integrated intervention group, while those who were contemplating quitting were assigned to the comparison group. Eleven sessions of individualized cognitive behavioral therapy with or without nicotine replacement therapy were provided to each participant in the integrated intervention group. The impacts of the novel approach on biochemically validated smoking cessation and TB treatment outcomes were measured periodically as appropriate. Results A linear effect on both 7-day point prevalence abstinence and continuous abstinence was observed over time in the intervention group. At the end of 6 months, patients who received the integrated intervention had significantly higher rate of success in quitting smoking when

  17. Integrated (one-stop shop) youth health care: best available evidence and future directions.

    Science.gov (United States)

    Hetrick, Sarah E; Bailey, Alan P; Smith, Kirsten E; Malla, Ashok; Mathias, Steve; Singh, Swaran P; O'Reilly, Aileen; Verma, Swapna K; Benoit, Laelia; Fleming, Theresa M; Moro, Marie Rose; Rickwood, Debra J; Duffy, Joseph; Eriksen, Trissel; Illback, Robert; Fisher, Caroline A; McGorry, Patrick D

    2017-11-20

    Although mental health problems represent the largest burden of disease in young people, access to mental health care has been poor for this group. Integrated youth health care services have been proposed as an innovative solution. Integrated care joins up physical health, mental health and social care services, ideally in one location, so that a young person receives holistic care in a coordinated way. It can be implemented in a range of ways. A review of the available literature identified a range of studies reporting the results of evaluation research into integrated care services. The best available data indicate that many young people who may not otherwise have sought help are accessing these mental health services, and there are promising outcomes for most in terms of symptomatic and functional recovery. Where evaluated, young people report having benefited from and being highly satisfied with these services. Some young people, such as those with more severe presenting symptoms and those who received fewer treatment sessions, have failed to benefit, indicating a need for further integration with more specialist care. Efforts are underway to articulate the standards and core features to which integrated care services should adhere, as well as to further evaluate outcomes. This will guide the ongoing development of best practice models of service delivery.

  18. Analogical reasoning and prefrontal cortex: evidence for separable retrieval and integration mechanisms.

    Science.gov (United States)

    Bunge, Silvia A; Wendelken, Carter; Badre, David; Wagner, Anthony D

    2005-03-01

    The present study examined the contributions of prefrontal cortex (PFC) subregions to two component processes underlying verbal analogical reasoning: semantic retrieval and integration. Event-related functional magnetic resonance imaging data were acquired while subjects performed propositional analogy and semantic decision tasks. On each trial, subjects viewed a pair of words (pair 1), followed by an instructional cue and a second word pair (pair 2). On analogy trials, subjects evaluated whether pair 2 was semantically analogous to pair 1. On semantic trials, subjects indicated whether the pair 2 words were semantically related to each other. Thus, analogy--but not semantic--trials required integration across multiple retrieved relations. To identify regions involved in semantic retrieval, we manipulated the associative strength of pair 1 words in both tasks. Anterior left inferior PFC (aLIPC) was modulated by associative strength, consistent with a role in controlled semantic retrieval. Left frontopolar cortex was insensitive to associative strength, but was more sensitive to integration demands than was aLIPC, consistent with a role in integrating the products of semantic retrieval to evaluate whether distinct representations are analogous. Right dorsolateral PFC exhibited a profile consistent with a role in response selection rather than retrieval or integration. These findings indicate that verbal analogical reasoning depends on multiple, PFC-mediated computations.

  19. Integration of evidence-based knowledge management in microsystems: a tele-ICU experience.

    Science.gov (United States)

    Rincon, Teresa A

    2012-01-01

    The Institute of Medicine's proposed 6 aims to improve health care are timely, safe, effective, efficient, equitable, and patient-centered care. Unfortunately, it also asserts that improvements in these 6 dimensions cannot be achieved within the existing framework of care systems. These systems are based on unrealistic expectations on human cognition and vigilance, and demonstrate a lack of dependence on computerized systems to support care processes and put information at the point of use. Knowledge-based care and evidence-based clinical decision-making need to replace the unscientific care that is being delivered in health care. Building care practices on evidence within an information technology platform is needed to support sound clinical decision-making and to influence organizational adoption of evidence-based practice in health care. Despite medical advances and evidence-based recommendations for treatment of severe sepsis, it remains a significant cause of mortality and morbidity in the world. It is a complex disease state that has proven difficult to define, diagnose, and treat. Supporting bedside teams with real-time knowledge and expertise to target early identification of severe sepsis and compliance to Surviving Sepsis Campaign, evidence-based practice bundles are important to improving outcomes. Using a centralized, remote team of expert nurses and an open-source software application to advance clinical decision-making and execution of the severe sepsis bundle will be examined.

  20. ICT Integration in Accounting Education: Evidence from Two Private Higher Institutions in Nigeria

    Directory of Open Access Journals (Sweden)

    Oyebisi Mary Ogundana

    2015-12-01

    Full Text Available This study examined the role of ICT integration in accounting education on the value adding capacity of accounting students in Nigeria. The study adopted the Survey research design involving the collection of data from accounting students in selected private universities in Nigeria. Copies of Questionnaire were administered to 147 respondents out of which 111 were gathered. Pearson Correlation and Linear Regression were employed in the analysis of the data collected with the use of Statistical Packages for Social Sciences (SPSS. The results revealed that integration of ICT (accounting software packages and IT knowledge and skills into accounting education (curriculum would help accounting graduates fulfill their responsibility of adding value to organizations. Consequently, it was recommended that the Nigeria Universities Commission (NUC and relevant educational bodies should compulsorily integrate (in all higher institution into accounting curriculum at all level a practical course on accounting packages and IT knowledge and skills.

  1. THE INTEGRATION OF PIGMEAT MARKETS IN THE EU. EVIDENCE FROM A REGULAR MIXED VINE COPULA

    Directory of Open Access Journals (Sweden)

    Vasilis GRIGORIADIS

    2016-04-01

    Full Text Available The objective of this work is to investigate the degree of integration of national pigmeat markets in the EU. This is pursued using monthly wholesale prices from seven major markets and the statistical tool of mixed R-vine copulas. The empirical results suggest that the markets considered do not constitute a great pool in which prices move, boom, and crash together. The markets of Belgium, Germany, and the Netherlands exhibit a higher degree of integration relative to the others, whereas the Italian market exhibits a lower degree of integration. Also, there is an indication that, in certain cases, the benefits of free trade may be unequally distributed between the trading partners.

  2. Is Pan-Asian Economic Integration Moving Forward?: Evidence from Pan-Asian Trade Statistics

    OpenAIRE

    Sapkota, Jeet Bahadur; Shuto, Motoko

    2016-01-01

    Asia is growing economically faster than any other region in the world; this led to the shift of the center of gravity of the global economy from the West to the East. However, it is not clear whether the Asian economy is integrating regionally or globally. In the context of the growing efforts of regional or sub-regional pan-Asian integration, it is worthwhile to explore the pan-Asian trade flows regionally as well as globally. Thus, this paper examines the trend and determinants of economic...

  3. Contagion across and integration of Central and Eastern European stock markets: evidence from intraday data

    Czech Academy of Sciences Publication Activity Database

    Égert, B.; Kočenda, Evžen

    -, č. 798 (2005), s. 1-30 Institutional research plan: CEZ:MSM0021620846 Keywords : contagion and spillover effects * market integration * European emerging market s Subject RIV: AH - Economics http://www.bus.umich.edu/KresgeLibrary/Collections/WorkingPapers/wdinum.htm

  4. Preparing Pre-Service Teachers to Integrate Technology in Education: A Synthesis of Qualitative Evidence

    Science.gov (United States)

    Tondeur, Jo; van Braak, Johan; Sang, Guoyuan; Voogt, Joke; Fisser, Petra; Ottenbreit-Leftwich, Anne

    2012-01-01

    This study reviewed qualitative studies that focused on strategies to prepare pre-service teachers to integrate technology into their lessons. A meta-ethnography approach was utilized to locate, critically appraise, and synthesize the results of these studies. Based on an extensive search in the Web of Science, 19 articles were included in this…

  5. Independent Representation of Parts and the Relations between Them: Evidence from Integrative Agnosia

    Science.gov (United States)

    Behrmann, Marlene; Peterson, Mary A.; Moscovitch, Morris; Suzuki, Satoru

    2006-01-01

    Whether objects are represented as a collection of parts whose relations are coded independently remains a topic of ongoing discussion among theorists in the domain of shape perception. S. M., an individual with integrative agnosia, and neurologically intact ("normal") individuals learned initially to identify 4 target objects constructed of 2…

  6. Preparing student teachers to integrate ICT in classroom practice: a synthesis of qualitative evidence

    NARCIS (Netherlands)

    Tondeur, J.; van Braak, J.; Guoyuan, S.; Voogt, Joke; Fisser, Petra; Ottenbreit-Leftwich, A.S.

    2012-01-01

    This study reviewed qualitative studies that focused on strategies to prepare pre-service teachers to integrate technology into their lessons. A meta-ethnography approach was utilized to locate, critically appraise, and synthesize the results of these studies. Based on an extensive search in the Web

  7. Sediment Ecosystem Assessment Protocol (SEAP): An Accurate and Integrated Weight-of-Evidence Based System

    Science.gov (United States)

    2011-01-01

    results: threshold values derived by the detectable significance approach. Environ. Toxicol. Chem., 20, 2, pp. 371-373. Thursby GB, Heltshe J, Scott KJ...P, Galloway T, Gerhardt A, and Simpson S, 2007. In situ-based effects measures: Considerations for improving methods and approaches. Integr

  8. Continuous integration in a social-coding world : empirical evidence from GitHub

    NARCIS (Netherlands)

    Vasilescu, B.N.; van Schuylenburg, S.B.; Wulms, Jules; Serebrenik, A.; Brand, van den M.G.J.

    2014-01-01

    Continuous integration is a software engineering practice of frequently merging all developer working copies with a shared main branch, e.g., several times a day. With the advent of GitHub, a platform well known for its "social coding" features that aid collaboration and sharing, and currently the

  9. Behavioural processes in marketing channel relationships: Review and integration of empirical evidence

    DEFF Research Database (Denmark)

    Jensen, Nils Bøgelund; Skytte, Hans

    1997-01-01

    This paper reviews the empirical research on behavioural processes in marketing channel relationships. Systematically examining nine international journals, we find 49 papers on behavioural processes. On the basis of the hypothesis tests in the papers, we discuss the results and integrate...

  10. On Textual Analysis and Machine Learning for Cyberstalking Detection.

    Science.gov (United States)

    Frommholz, Ingo; Al-Khateeb, Haider M; Potthast, Martin; Ghasem, Zinnar; Shukla, Mitul; Short, Emma

    2016-01-01

    Cyber security has become a major concern for users and businesses alike. Cyberstalking and harassment have been identified as a growing anti-social problem. Besides detecting cyberstalking and harassment, there is the need to gather digital evidence, often by the victim. To this end, we provide an overview of and discuss relevant technological means, in particular coming from text analytics as well as machine learning, that are capable to address the above challenges. We present a framework for the detection of text-based cyberstalking and the role and challenges of some core techniques such as author identification, text classification and personalisation. We then discuss PAN, a network and evaluation initiative that focusses on digital text forensics, in particular author identification.

  11. Integrating evidence based medicine into undergraduate medical education: combining online instruction with clinical clerkships.

    Science.gov (United States)

    Aronoff, Stephen C; Evans, Barry; Fleece, David; Lyons, Paul; Kaplan, Lawrence; Rojas, Roberto

    2010-07-01

    Incorporation of evidence based medicine into the undergraduate curriculum varies from school to school. The purpose of this study was to determine if an online course in evidence based medicine run concurrently with the clinical clerkships in the 3rd year of undergraduate medical education provided effective instruction in evidence based medicine (EBM). During the first 18 weeks of the 3rd year, students completed 6 online, didactic modules. Over the next 24 weeks, students developed questions independently from patients seen during clerkships and then retrieved and appraised relevant evidence. Online, faculty mentors reviewed student assignments submitted throughout the course to monitor progress. Mastery of the skills of EBM was assessed prior to and at the conclusion of the course using the Fresno test of competency. Paired data were available from 139 students. Postcourse test scores (M= 77.7; 95% CI = 59-96.4) were significantly higher than precourse scores (M= 66.6; 95% CI = 46.5-86.7), ponline, faculty mentored instruction. This method of instruction provided uniform instruction across geographic sites and medical specialties and permitted efficient use of faculty time.

  12. Perspectives--Talking with Practitioners: How to Integrate Best Practices with Evidence-Based Treatment

    Science.gov (United States)

    Cohen, Richard

    2012-01-01

    Evidence-based treatments are increasingly important and necessary parts of many disciplines when working with very young children and their families. In using them, it is advantageous to be grounded in the principles and practices that research has shown are critical to children's healthy development, particularly the importance of supporting the…

  13. Successfully integrating aged care services: A review of the evidence and tools emerging from a long-term care program

    Directory of Open Access Journals (Sweden)

    Michael J. Stewart

    2013-02-01

    Full Text Available Background: Providing efficient and effective aged care services is one of the greatest public policy concerns currently facing governments. Increasing the integration of care services has the potential to provide many benefits including increased access, promoting greater efficiency, and improving care outcomes. There is little research, however, investigating how integrated aged care can be successfully achieved. The PRISMA (Program of Research to Integrate Services for the Maintenance of Autonomy project, from Quebec, Canada, is one of the most systematic and sustained bodies of research investigating the translation and outcomes of an integrated care policy into practice.  The PRISMA research program has run since 1988, yet there has been no independent systematic review of this work to draw out the lessons learnt. Methods: Narrative review of all literature emanating from the PRISMA project between 1988 and 2012. Researchers accessed an online list of all published papers from the program website. The reference lists of papers were hand searched to identify additional literature. Finally, Medline, Pubmed, EMBASE and Google Scholar indexing databases were searched using key terms and author names. Results were extracted into specially designed spread sheets for analysis. Results: 45 journal articles and two books authored or co-authored by the PRISMA team were identified. Research was primarily concerned with: the design, development and validation of screening and assessment tools; and results generated from their application. Both quasi-experimental and cross sectional analytic designs were used extensively. Contextually appropriate expert opinion was obtained using variations on the Delphi Method. Literature analysis revealed the structures, processes and outcomes which underpinned the implementation. PRISMA provides evidence that integrating care for older persons is beneficial to individuals through reducing incidence of functional

  14. Successfully integrating aged care services: A review of the evidence and tools emerging from a long-term care program

    Directory of Open Access Journals (Sweden)

    Michael J. Stewart

    2013-02-01

    Full Text Available Background: Providing efficient and effective aged care services is one of the greatest public policy concerns currently facing governments. Increasing the integration of care services has the potential to provide many benefits including increased access, promoting greater efficiency, and improving care outcomes. There is little research, however, investigating how integrated aged care can be successfully achieved. The PRISMA (Program of Research to Integrate Services for the Maintenance of Autonomy project, from Quebec, Canada, is one of the most systematic and sustained bodies of research investigating the translation and outcomes of an integrated care policy into practice.  The PRISMA research program has run since 1988, yet there has been no independent systematic review of this work to draw out the lessons learnt.Methods: Narrative review of all literature emanating from the PRISMA project between 1988 and 2012. Researchers accessed an online list of all published papers from the program website. The reference lists of papers were hand searched to identify additional literature. Finally, Medline, Pubmed, EMBASE and Google Scholar indexing databases were searched using key terms and author names. Results were extracted into specially designed spread sheets for analysis.Results: 45 journal articles and two books authored or co-authored by the PRISMA team were identified. Research was primarily concerned with: the design, development and validation of screening and assessment tools; and results generated from their application. Both quasi-experimental and cross sectional analytic designs were used extensively. Contextually appropriate expert opinion was obtained using variations on the Delphi Method. Literature analysis revealed the structures, processes and outcomes which underpinned the implementation. PRISMA provides evidence that integrating care for older persons is beneficial to individuals through reducing incidence of functional

  15. The SCIDOTS Project: evidence of benefits of an integrated tobacco cessation intervention in tuberculosis care on treatment outcomes.

    Science.gov (United States)

    Awaisu, Ahmed; Nik Mohamed, Mohamad Haniki; Mohamad Noordin, Noorliza; Abd Aziz, Noorizan; Syed Sulaiman, Syed Azhar; Muttalif, Abdul Razak; Ahmad Mahayiddin, Aziah

    2011-09-23

    There is substantial evidence to support the association between tuberculosis (TB) and tobacco smoking and that the smoking-related immunological abnormalities in TB are reversible within six weeks of cessation. Therefore, connecting TB and tobacco cessation interventions may produce significant benefits and positively impact TB treatment outcomes. However, no study has extensively documented the evidence of benefits of such integration. SCIDOTS Project is a study from the context of a developing nation aimed to determine this. An integrated TB-tobacco intervention was provided by trained TB directly observed therapy short-course (DOTS) providers at five chest clinics in Malaysia. The study was a prospective non-randomized controlled intervention using quasi-experimental design. Using Transtheoretical Model approach, 120 eligible participants who were current smokers at the time of TB diagnosis were assigned to either of two treatment groups: conventional TB DOTS plus smoking cessation intervention (integrated intervention or SCIDOTS group) or conventional TB DOTS alone (comparison or DOTS group). At baseline, newly diagnosed TB patients considering quitting smoking within the next 30 days were placed in the integrated intervention group, while those who were contemplating quitting were assigned to the comparison group. Eleven sessions of individualized cognitive behavioral therapy with or without nicotine replacement therapy were provided to each participant in the integrated intervention group. The impacts of the novel approach on biochemically validated smoking cessation and TB treatment outcomes were measured periodically as appropriate. A linear effect on both 7-day point prevalence abstinence and continuous abstinence was observed over time in the intervention group. At the end of 6 months, patients who received the integrated intervention had significantly higher rate of success in quitting smoking when compared with those who received the conventional TB

  16. Biomedical Imaging Modality Classification Using Combined Visual Features and Textual Terms

    Directory of Open Access Journals (Sweden)

    Xian-Hua Han

    2011-01-01

    extraction from medical images and fuses the different extracted visual features and textual feature for modality classification. To extract visual features from the images, we used histogram descriptor of edge, gray, or color intensity and block-based variation as global features and SIFT histogram as local feature. For textual feature of image representation, the binary histogram of some predefined vocabulary words from image captions is used. Then, we combine the different features using normalized kernel functions for SVM classification. Furthermore, for some easy misclassified modality pairs such as CT and MR or PET and NM modalities, a local classifier is used for distinguishing samples in the pair modality to improve performance. The proposed strategy is evaluated with the provided modality dataset by ImageCLEF 2010.

  17. Biomedical imaging modality classification using combined visual features and textual terms.

    Science.gov (United States)

    Han, Xian-Hua; Chen, Yen-Wei

    2011-01-01

    We describe an approach for the automatic modality classification in medical image retrieval task of the 2010 CLEF cross-language image retrieval campaign (ImageCLEF). This paper is focused on the process of feature extraction from medical images and fuses the different extracted visual features and textual feature for modality classification. To extract visual features from the images, we used histogram descriptor of edge, gray, or color intensity and block-based variation as global features and SIFT histogram as local feature. For textual feature of image representation, the binary histogram of some predefined vocabulary words from image captions is used. Then, we combine the different features using normalized kernel functions for SVM classification. Furthermore, for some easy misclassified modality pairs such as CT and MR or PET and NM modalities, a local classifier is used for distinguishing samples in the pair modality to improve performance. The proposed strategy is evaluated with the provided modality dataset by ImageCLEF 2010.

  18. Textual and shape-based feature extraction and neuro-fuzzy classifier for nuclear track recognition

    Science.gov (United States)

    Khayat, Omid; Afarideh, Hossein

    2013-04-01

    Track counting algorithms as one of the fundamental principles of nuclear science have been emphasized in the recent years. Accurate measurement of nuclear tracks on solid-state nuclear track detectors is the aim of track counting systems. Commonly track counting systems comprise a hardware system for the task of imaging and software for analysing the track images. In this paper, a track recognition algorithm based on 12 defined textual and shape-based features and a neuro-fuzzy classifier is proposed. Features are defined so as to discern the tracks from the background and small objects. Then, according to the defined features, tracks are detected using a trained neuro-fuzzy system. Features and the classifier are finally validated via 100 Alpha track images and 40 training samples. It is shown that principle textual and shape-based features concomitantly yield a high rate of track detection compared with the single-feature based methods.

  19. Linnaeus' restless system: translation as textual engineering in eighteenth-century botany.

    Science.gov (United States)

    Dietz, Bettina

    2016-04-01

    In this essay, translations of Linnaeus' Systema naturae into various European languages will be placed into the context of successively expanded editions of Linnaeus' writings. The ambition and intention of most translators was not only to make the Systema naturae accessible for practical botanical use by a wider readership, but also to supplement and correct it, and thus to shape it. By recruiting more users, translations made a significant contribution to keeping the Systema up to date and thus maintaining its practical value for decades. The need to incorporate countless additions and corrections into an existing text, to document their provenance, to identify inconsistencies, and to refer to relevant observations, descriptions, and illustrations in the botanical literature all helped to develop and refine techniques of textual montage. This form of textual engineering, becoming increasingly complex with each translation cycle, shaped the external appearance of new editions of the Systema, and reflected the modular architecture of a botanical system designed for expansion.

  20. Use of a Modified Chaining Procedure with Textual Prompts to Establish Intraverbal Storytelling.

    Science.gov (United States)

    Valentino, Amber L; Conine, Daniel E; Delfs, Caitlin H; Furlow, Christopher M

    2015-06-01

    Echoic, tact, and textual transfer procedures have been proven successful in establishing simple intraverbals (Braam and Poling Applied Research in Mental Retardation, 4, 279-302, 1983; Luciano Applied Research in Mental Retardation, 102, 346-357, 1986; Watkins et al. The Analysis of Verbal Behavior, 7, 69-81, 1989). However, these strategies may be ineffective for some children due to the complexity of the targeted intraverbals. The current study investigated the use of a novel procedure which included a modified chaining procedure and textual prompts to establish intraverbal behavior in the form of telling short stories. Visual prompts and rule statements were used with some of the participants in order to produce the desired behavior change. Results indicated that the procedure was effective for teaching retelling of short stories in three children with autism.

  1. Generation of Natural-Language Textual Summaries from Longitudinal Clinical Records.

    Science.gov (United States)

    Goldstein, Ayelet; Shahar, Yuval

    2015-01-01

    Physicians are required to interpret, abstract and present in free-text large amounts of clinical data in their daily tasks. This is especially true for chronic-disease domains, but holds also in other clinical domains. We have recently developed a prototype system, CliniText, which, given a time-oriented clinical database, and appropriate formal abstraction and summarization knowledge, combines the computational mechanisms of knowledge-based temporal data abstraction, textual summarization, abduction, and natural-language generation techniques, to generate an intelligent textual summary of longitudinal clinical data. We demonstrate our methodology, and the feasibility of providing a free-text summary of longitudinal electronic patient records, by generating summaries in two very different domains - Diabetes Management and Cardiothoracic surgery. In particular, we explain the process of generating a discharge summary of a patient who had undergone a Coronary Artery Bypass Graft operation, and a brief summary of the treatment of a diabetes patient for five years.

  2. Development of the GREEN (Garden Resources, Education, and Environment Nexus) Tool: An Evidence-Based Model for School Garden Integration.

    Science.gov (United States)

    Burt, Kate Gardner; Koch, Pamela; Contento, Isobel

    2017-10-01

    operationalize school gardening components and describe an evidence-based strategy of successful school garden integration. Copyright © 2017 Academy of Nutrition and Dietetics. Published by Elsevier Inc. All rights reserved.

  3. "Hey, I Didn't Say That!": Teaching Textual Integrity through Misrepresented Quotes

    Science.gov (United States)

    Ford, Jessica L.

    2015-01-01

    Despite specialized areas of expertise, communication instructors are unified, to a large extent, by a singular belief: the meaning people give words produces behavioral ramifications (Mead, 2009). Communication instructors revere language's ability to reflect both meaning and reality. Yet, they also are tasked with the responsibility of conveying…

  4. Writing Material in Chemical Physics Research: The Laboratory Notebook as Locus of Technical and Textual Integration

    Science.gov (United States)

    Wickman, Chad

    2010-01-01

    This article, drawing on ethnographic study in a chemical physics research facility, explores how notebooks are used and produced in the conduct of laboratory science. Data include written field notes of laboratory activity; visual documentation of "in situ" writing processes; analysis of inscriptions, texts, and material artifacts produced in the…

  5. Integrating the Principles of Effective Intervention into Batterer Intervention Programming: The Case for Moving Toward More Evidence-Based Programming.

    Science.gov (United States)

    Radatz, Dana L; Wright, Emily M

    2016-01-01

    The majority of batterer intervention program (BIP) evaluations have indicated they are marginally effective in reducing domestic violence recidivism. Meanwhile, correctional programs used to treat a variety of offenders (e.g., substance users, violent offenders, and so forth) that adhere to the "principles of effective intervention" (PEI) have reported significant reductions in recidivism. This article introduces the PEI-the principles on which evidence-based practices in correctional rehabilitation are based-and identifies the degree to which they are currently integrated into BIPs. The case is made that batterer programs could be more effective if they incorporate the PEI. Recommendations for further integration of the principles into BIPs are also provided. © The Author(s) 2015.

  6. Las superestructuras textuales en los procesos pedagógicos

    Directory of Open Access Journals (Sweden)

    Pardo Abril Neyla Graciela

    1992-06-01

    Full Text Available

    El propósito de este documento es presentar e ilustrar algunas consideraciones tendientes a posibilitar una metodología que se acerque de manera más funcional al desarrollo integral de las habilidades comunicativas, a partir de un marco teórico que aproxime a la descripción, explicación y predicción de los procesos de la producción y comprensión discursiva, teniendo en cuenta las más importantes contribuciones que en este sentido han elaborado la lingüística de texto, la sicología cognoscitiva y la cibernética, en particular, las digresiones en torno a la inteligencia artificial, desde donde se señala la importancia que tienen los procesos y categorías cognoscitivas en la comprensión y producción de discursos.

  7. Topic structure affects semantic integration: evidence from event-related potentials.

    Science.gov (United States)

    Yang, Xiaohong; Chen, Xuhai; Chen, Shuang; Xu, Xiaoying; Yang, Yufang

    2013-01-01

    This study investigated whether semantic integration in discourse context could be influenced by topic structure using event-related brain potentials. Participants read discourses in which the last sentence contained a critical word that was either congruent or incongruent with the topic established in the first sentence. The intervening sentences between the first and the last sentence of the discourse either maintained or shifted the original topic. Results showed that incongruent words in topic-maintained discourses elicited an N400 effect that was broadly distributed over the scalp while those in topic-shifted discourses elicited an N400 effect that was lateralized to the right hemisphere and localized over central and posterior areas. Moreover, a late positivity effect was only elicited by incongruent words in topic-shifted discourses, but not in topic-maintained discourses. This suggests an important role for discourse structure in semantic integration, such that compared with topic-maintained discourses, the complexity of discourse structure in topic-shifted condition reduces the initial stage of semantic integration and enhances the later stage in which a mental representation is updated.

  8. Decoding the integrated approach to yoga therapy: Qualitative evidence based conceptual framework.

    Science.gov (United States)

    Villacres, Maria Del Carmen; Jagannathan, Aarti; Nagarathna, R; Ramakrsihna, Jayashree

    2014-01-01

    The aim of this study was to define, decode, and append to the conceptual frame-work of the integrated approach to yoga therapy (IAYT). Four stakeholders who followed two in-patients with depression over a period of 2 weeks in the residential center Arogyadhama (of Swami Vivekananda Yoga Anusandana Samsthana, Bangalore, India) were interviewed before the start of the IAYT treatment and prior to discharge of the patient. The patients were also interviewed pre and post and were observed once during their session. The data from the audio recordings from eight in-depth interviews were transcribed manually and qualitative analysis was conducted. The conceptual frame-work of IAYT depicts that patient related factors ("co-operation of patient", "patients awareness of his/her condition"), therapist related factors ("ability to guide", "the assistance to the patients", "explanation of the exercises") and treatment related factors ("combination of psychiatric or Ayurvedic medication with yoga", "counseling during the IAYT treatment", duration of treatment), play an integrated role in reaching the "aim of IAYT" and experiencing "improvements and changes". The IAYT is a holistic program and the ability of the patient to cooperate with and integrate the available factors (therapist related and treatment related) could enable best results.

  9. Scene Integration Without Awareness: No Conclusive Evidence for Processing Scene Congruency During Continuous Flash Suppression.

    Science.gov (United States)

    Moors, Pieter; Boelens, David; van Overwalle, Jaana; Wagemans, Johan

    2016-07-01

    A recent study showed that scenes with an object-background relationship that is semantically incongruent break interocular suppression faster than scenes with a semantically congruent relationship. These results implied that semantic relations between the objects and the background of a scene could be extracted in the absence of visual awareness of the stimulus. In the current study, we assessed the replicability of this finding and tried to rule out an alternative explanation dependent on low-level differences between the stimuli. Furthermore, we used a Bayesian analysis to quantify the evidence in favor of the presence or absence of a scene-congruency effect. Across three experiments, we found no convincing evidence for a scene-congruency effect or a modulation of scene congruency by scene inversion. These findings question the generalizability of previous observations and cast doubt on whether genuine semantic processing of object-background relationships in scenes can manifest during interocular suppression. © The Author(s) 2016.

  10. Developing an integrated evidence-based medicine curriculum for family medicine residency at the University of Alberta.

    Science.gov (United States)

    Allan, G Michael; Korownyk, Christina; Tan, Amy; Hindle, Hugh; Kung, Lina; Manca, Donna

    2008-06-01

    There is general consensus in the academic community that evidence-based medicine (EBM) teaching is essential. Unfortunately, many postgraduate programs have significant weakness in their EBM programs. The Family Medicine Residency committee at the University of Alberta felt their EBM curriculum would benefit from critical review and revision. An EBM Curriculum Committee was created to evaluate previous components and develop new strategies as needed. Input from stakeholders including faculty and residents was sought, and evidence regarding the teaching and practical application of EBM was gathered. The committee drafted goals and objectives, the primary of which were to assist residents to (1) become competent self-directed, lifelong learners with skills to effectively and efficiently keep up to date, and 2) develop EBM skills to solve problems encountered in daily practice. New curriculum components, each evidence based, were introduced in 2005 and include a family medicine EBM workshop to establish basic EBM knowledge; a Web-based Family Medicine Desktop promoting easier access to evidence-based Internet resources; a brief evidence-based assessment of the research project enhancing integration of EBM into daily practice; and a journal club to support peer learning and growth of rapid appraisal skills. Issues including time use, costs, and change management are discussed. Ongoing evaluation of the curriculum and its components is a principal factor of the design, allowing critical review and adaptation of the curriculum. The first two years of the curriculum have yielded positive feedback from faculty and statistically significant improvement in multiple areas of residents' opinions of the curriculum and comfort with evidence-based practice.

  11. Using a pedagogical approach to integrate evidence-based teaching in an undergraduate women's health course.

    Science.gov (United States)

    Dawley, Katy; Bloch, Joan Rosen; Suplee, Patricia Dunphy; McKeever, Amy; Scherzer, Gerri

    2011-06-01

    Evidence-based practice (EBP) is promoted as a foundation for nursing practice. However, the 2005 U.S. survey of nurses revealed that they do not have requisite skills for EBP. PURPOSE AND GOALS: To evaluate a pedagogical approach aimed at (1) fostering undergraduate nursing students EBP competencies, and (2) identifying gaps in the literature to direct future women's health research. A secondary analysis of data abstracted from required EBP clinical journals for an undergraduate women's health course in which students (n = 198) were asked to find evidence to answer their clinical questions. Content analysis was used to identify main themes of the topics of inquiry. Students identified 1,808 clinical questions and 30.3% (n = 547) of these could not be answered or supported by evidence in the literature. This assignment was an important teaching and assessment tool for EBP. Questions reflected critical thinking and quest for in-depth knowledge to support nursing practice. Some students lacked skills in searching databases and a significant number of knowledge gaps were identified that can direct women's health research. Copyright ©2010 Sigma Theta Tau International.

  12. Integrating Brain Science and Law: Neuroscientific Evidence and Legal Perspectives on Protecting Individual Liberties

    Directory of Open Access Journals (Sweden)

    Calvin J. Kraft

    2017-11-01

    Full Text Available Advances in neuroscientific techniques have found increasingly broader applications, including in legal neuroscience (or “neurolaw”, where experts in the brain sciences are called to testify in the courtroom. But does the incursion of neuroscience into the legal sphere constitute a threat to individual liberties? And what legal protections are there against such threats? In this paper, we outline individual rights as they interact with neuroscientific methods. We then proceed to examine the current uses of neuroscientific evidence, and ultimately determine whether the rights of the individual are endangered by such approaches. Based on our analysis, we conclude that while federal evidence rules constitute a substantial hurdle for the use of neuroscientific evidence, more ethical safeguards are needed to protect against future violations of fundamental rights. Finally, we assert that it will be increasingly imperative for the legal and neuroscientific communities to work together to better define the limits, capabilities, and intended direction of neuroscientific methods applicable for use in law.

  13. Improved medical image modality classification using a combination of visual and textual features.

    Science.gov (United States)

    Dimitrovski, Ivica; Kocev, Dragi; Kitanovski, Ivan; Loskovska, Suzana; Džeroski, Sašo

    2015-01-01

    In this paper, we present the approach that we applied to the medical modality classification tasks at the ImageCLEF evaluation forum. More specifically, we used the modality classification databases from the ImageCLEF competitions in 2011, 2012 and 2013, described by four visual and one textual types of features, and combinations thereof. We used local binary patterns, color and edge directivity descriptors, fuzzy color and texture histogram and scale-invariant feature transform (and its variant opponentSIFT) as visual features and the standard bag-of-words textual representation coupled with TF-IDF weighting. The results from the extensive experimental evaluation identify the SIFT and opponentSIFT features as the best performing features for modality classification. Next, the low-level fusion of the visual features improves the predictive performance of the classifiers. This is because the different features are able to capture different aspects of an image, their combination offering a more complete representation of the visual content in an image. Moreover, adding textual features further increases the predictive performance. Finally, the results obtained with our approach are the best results reported on these databases so far. Copyright © 2014 Elsevier Ltd. All rights reserved.

  14. Textual, Genre and Social Features of Spoken Grammar: A Corpus-Based Approach

    Directory of Open Access Journals (Sweden)

    Carmen Pérez-Llantada

    2009-02-01

    Full Text Available This paper describes a corpus-based approach to teaching and learning spoken grammar for English for Academic Purposes with reference to Bhatia’s (2002 multi-perspective model for discourse analysis: a textual perspective, a genre perspective and a social perspective. From a textual perspective, corpus-informed instruction helps students identify grammar items through statistical frequencies, collocational patterns, context-sensitive meanings and discoursal uses of words. From a genre perspective, corpus observation provides students with exposure to recurrent lexico-grammatical patterns across different academic text types (genres. From a social perspective, corpus models can be used to raise learners’ awareness of how speakers’ different discourse roles, discourse privileges and power statuses are enacted in their grammar choices. The paper describes corpus-based instructional procedures, gives samples of learners’ linguistic output, and provides comments on the students’ response to this method of instruction. Data resulting from the assessment process and student production suggest that corpus-informed instruction grounded in Bhatia’s multi-perspective model can constitute a pedagogical approach in order to i obtain positive student responses from input and authentic samples of grammar use, ii help students identify and understand the textual, genre and social aspects of grammar in real contexts of use, and therefore iii help develop students’ ability to use grammar accurately and appropriately.

  15. Benjamin’s Dialectical Image and the Textuality of the Built Landscape

    Directory of Open Access Journals (Sweden)

    Ross Lipton

    2016-05-01

    Full Text Available In The Arcades Project, Walter Benjamin describes the architectural expression of nineteenth century Paris as a dialectical manifestation of backwards-looking historicism and the dawn of modern industrial production (in the form of cast iron and mass produced plate glass. Yet in the same text, Benjamin refers to the dialectical image as occurring within the medium of written language. In this paper, I will first discuss the textuality of the dialectical image as it emerges from Benjamin’s discussion of allegorical and symbolic images in his Trauerspiel study and the ‘wish symbol’ in The Arcades Project. I will then discuss the ‘textual reductionism’ implicit in Benjamin’s theory of the dialectical image, in which the dense pluralities of urban space are reduced to a finite script to be pieced together through Benjamin’s constructivist method of historical observation. The textuality of the dialectical image will be elaborated on by discussing it in relation to the practice of translation. This discussion will be further contextualised by discussing a cadre of German/Austrian planners and architects who attempted to translate architectural idioms between cultural identities in Kemalist Era Turkey. The article concludes with a short recapitulation on the dialectical image as both an object of scrutiny and a method of observation, one which also takes into consideration the specific historicity of the observer.

  16. Expressing emotions in blogs : The role of textual paralinguistic cues in online venting and social sharing posts

    NARCIS (Netherlands)

    Rodríguez-Hidalgo, Carmina; Tan, Ed S.H.; Verlegh, Peeter W.J.

    2017-01-01

    Textual paralanguage cues (TPC) have been signaled as effective emotion transmitters online. Though several studies have investigated their properties and occurrence, there remains a gap concerning their communicative impact within specific psychological processes, such as the social sharing of

  17. Innovation, Integration and Product Proliferation - Empirical Evidence for the Agri-Food Industry

    OpenAIRE

    Karantininis, Kostas; Sauer, Johannes; Furtan, William Hartley

    2008-01-01

    While mergers, both horizontal and vertical, have been shaping the landscape of the agri-food industry in Europe, the implications of the changing market structure on the level of innovation has not been studied yet. In this paper we deal with the link between innovation and market structure using the empirical example of the Danish agri-food industry. The purpose of this paper is two-fold. First we test for the importance of vertical integration on innovation. While there exist several studi...

  18. Integration

    DEFF Research Database (Denmark)

    Emerek, Ruth

    2004-01-01

    Bidraget diskuterer de forskellige intergrationsopfattelse i Danmark - og hvad der kan forstås ved vellykket integration......Bidraget diskuterer de forskellige intergrationsopfattelse i Danmark - og hvad der kan forstås ved vellykket integration...

  19. Evolutionary time-scale of the begomoviruses: evidence from integrated sequences in the Nicotiana genome.

    Directory of Open Access Journals (Sweden)

    Pierre Lefeuvre

    Full Text Available Despite having single stranded DNA genomes that are replicated by host DNA polymerases, viruses in the family Geminiviridae are apparently evolving as rapidly as some RNA viruses. The observed substitution rates of geminiviruses in the genera Begomovirus and Mastrevirus are so high that the entire family could conceivably have originated less than a million years ago (MYA. However, the existence of geminivirus related DNA (GRD integrated within the genomes of various Nicotiana species suggests that the geminiviruses probably originated >10 MYA. Some have even suggested that a distinct New-World (NW lineage of begomoviruses may have arisen following the separation by continental drift of African and American proto-begomoviruses ∼110 MYA. We evaluate these various geminivirus origin hypotheses using Bayesian coalescent-based approaches to date firstly the Nicotiana GRD integration events, and then the divergence of the NW and Old-World (OW begomoviruses. Besides rejecting the possibility of a<2 MYA OW-NW begomovirus split, we could also discount that it may have occurred concomitantly with the breakup of Gondwanaland 110 MYA. Although we could only confidently narrow the date of the split down to between 2 and 80 MYA, the most plausible (and best supported date for the split is between 20 and 30 MYA--a time when global cooling ended the dispersal of temperate species between Asia and North America via the Beringian land bridge.

  20. Integrating complementary/alternative medicine into primary care: evaluating the evidence and appropriate implementation

    Directory of Open Access Journals (Sweden)

    Wainapel SF

    2015-12-01

    Full Text Available Stanley F Wainapel,1 Stephanie Rand,1 Loren M Fishman,2 Jennifer Halstead-Kenny1 1The Arthur S Abramson Department of Physical Medicine and Rehabilitation, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, 2Department of Rehabilitation and Regenerative Medicine, College of Physicians and Surgeons, Columbia University, New York, NY, USA Abstract: The frequency with which patients utilize treatments encompassed by the term complementary/alternative medicine (CAM is well documented. A number of these therapies are beginning to be integrated into contemporary medical practice. This article examines three of them: osteopathic manipulation, yoga, and acupuncture, with a focus on their physiological effects, efficacy in treating medical conditions commonly encountered by practitioners, precautions or contraindications, and ways in which they can be incorporated into clinical practice. Physicians should routinely obtain information about use of CAM as part of their patient history and should consider their role based on physiological effects and clinical research results. Keywords: integrative medicine, osteopathic manipulation, yoga, acupuncture therapy

  1. Integrated trend assessment of ecosystem changes in the Limfjord (Denmark): evidence of a recent regime shift?

    DEFF Research Database (Denmark)

    Tomczak, Maciej Tomasz; Dinesen, Grete E.; Hoffmann, Erik

    2012-01-01

    An integrated ecosystem assessment was carried out for the Limfjord over the period from 1984 to 2008 to describe changes in ecosystem structure and potentially important drivers. The Limfjord is an eutrophic transitional Danish fjord system with the main inflow from the North Sea in the west and...... further showed the regime shift to be driven by a combination of anthropogenic pressures and possible interplay with climatic disturbance......An integrated ecosystem assessment was carried out for the Limfjord over the period from 1984 to 2008 to describe changes in ecosystem structure and potentially important drivers. The Limfjord is an eutrophic transitional Danish fjord system with the main inflow from the North Sea in the west......), jellyfish, common shore crab, starfish and blue mussels. We interpret this change as a regime shift that showed a similar temporal pattern to regime shifts identified in adjacent seas. The observed changes in trophic interactions and food web reorganisation suggested a non-linear regime shift. The analyses...

  2. Integrative dynamic therapy for bulimia nervosa: An evidence-based case study.

    Science.gov (United States)

    Richards, Lauren K; Shingleton, Rebecca M; Goldman, Rachel; Siegel, Deborah; Thompson-Brenner, Heather

    2016-06-01

    Both cognitive-behavioral therapy (CBT) and psychodynamic psychotherapy are commonly used to treat eating disorders. To further investigate the effectiveness of integrative dynamic therapy (IDT) for bulimia nervosa (BN), our research group undertook a randomized, controlled pilot study comparing IDT with CBT for BN. The case described here was selected from a sample of N = 38 female patients with the symptoms of BN who enrolled in the study. IDT incorporated aspects of the first 4-week stage of CBT, including psychoeducation, self-monitoring, and regular eating. Subsequently, the treatment focused on emotional expression, emotion regulation (defenses), intrapsychic conflict, and interpersonal relationships. The objectives of the report are to demonstrate the effectiveness of an integrative approach to the treatment of eating disorders to address the symptoms of BN and personality issues using pre-, mid-, and posttreatment data, and to illustrate the patient and clinician reactions to each approach to treatment using excerpts from session transcripts and alliance data. (PsycINFO Database Record (c) 2016 APA, all rights reserved).

  3. Genetic evidence for role of integration of fast and slow neurotransmission in schizophrenia.

    Science.gov (United States)

    Devor, A; Andreassen, O A; Wang, Y; Mäki-Marttunen, T; Smeland, O B; Fan, C-C; Schork, A J; Holland, D; Thompson, W K; Witoelar, A; Chen, C-H; Desikan, R S; McEvoy, L K; Djurovic, S; Greengard, P; Svenningsson, P; Einevoll, G T; Dale, A M

    2017-06-01

    The most recent genome-wide association studies (GWAS) of schizophrenia (SCZ) identified hundreds of risk variants potentially implicated in the disease. Further, novel statistical methodology designed for polygenic architecture revealed more potential risk variants. This can provide a link between individual genetic factors and the mechanistic underpinnings of SCZ. Intriguingly, a large number of genes coding for ionotropic and metabotropic receptors for various neurotransmitters-glutamate, γ-aminobutyric acid (GABA), dopamine, serotonin, acetylcholine and opioids-and numerous ion channels were associated with SCZ. Here, we review these findings from the standpoint of classical neurobiological knowledge of neuronal synaptic transmission and regulation of electrical excitability. We show that a substantial proportion of the identified genes are involved in intracellular cascades known to integrate 'slow' (G-protein-coupled receptors) and 'fast' (ionotropic receptors) neurotransmission converging on the protein DARPP-32. Inspection of the Human Brain Transcriptome Project database confirms that that these genes are indeed expressed in the brain, with the expression profile following specific developmental trajectories, underscoring their relevance to brain organization and function. These findings extend the existing pathophysiology hypothesis by suggesting a unifying role of dysregulation in neuronal excitability and synaptic integration in SCZ. This emergent model supports the concept of SCZ as an 'associative' disorder-a breakdown in the communication across different slow and fast neurotransmitter systems through intracellular signaling pathways-and may unify a number of currently competing hypotheses of SCZ pathophysiology.

  4. Delimiting species of Protaphorura (Collembola: Onychiuridae): integrative evidence based on morphology, DNA sequences and geography.

    Science.gov (United States)

    Sun, Xin; Zhang, Feng; Ding, Yinhuan; Davies, Thomas W; Li, Yu; Wu, Donghui

    2017-08-15

    Species delimitation remains a significant challenge when the diagnostic morphological characters are limited. Integrative taxonomy was applied to the genus Protaphorura (Collembola: Onychiuridae), which is one of most difficult soil animals to distinguish taxonomically. Three delimitation approaches (morphology, molecular markers and geography) were applied providing rigorous species validation criteria with an acceptably low error rate. Multiple molecular approaches, including distance- and evolutionary model-based methods, were used to determine species boundaries based on 144 standard barcode sequences. Twenty-two molecular putative species were consistently recovered across molecular and geographical analyses. Geographic criteria were was proved to be an efficient delimitation method for onychiurids. Further morphological examination, based on the combination of the number of pseudocelli, parapseudocelli and ventral mesothoracic chaetae, confirmed 18 taxa of 22 molecular units, with six of them described as new species. These characters were found to be of high taxonomical value. This study highlights the potential benefits of integrative taxonomy, particularly simultaneous use of molecular/geographical tools, as a powerful way of ascertaining the true diversity of the Onychiuridae. Our study also highlights that discovering new morphological characters remains central to achieving a full understanding of collembolan taxonomy.

  5. Cross-modal integration of lexical-semantic features during word processing: evidence from oscillatory dynamics during EEG.

    Directory of Open Access Journals (Sweden)

    Markus J van Ackeren

    Full Text Available In recent years, numerous studies have provided converging evidence that word meaning is partially stored in modality-specific cortical networks. However, little is known about the mechanisms supporting the integration of this distributed semantic content into coherent conceptual representations. In the current study we aimed to address this issue by using EEG to look at the spatial and temporal dynamics of feature integration during word comprehension. Specifically, participants were presented with two modality-specific features (i.e., visual or auditory features such as silver and loud and asked to verify whether these two features were compatible with a subsequently presented target word (e.g., WHISTLE. Each pair of features described properties from either the same modality (e.g., silver, tiny  =  visual features or different modalities (e.g., silver, loud  =  visual, auditory. Behavioral and EEG data were collected. The results show that verifying features that are putatively represented in the same modality-specific network is faster than verifying features across modalities. At the neural level, integrating features across modalities induces sustained oscillatory activity around the theta range (4-6 Hz in left anterior temporal lobe (ATL, a putative hub for integrating distributed semantic content. In addition, enhanced long-range network interactions in the theta range were seen between left ATL and a widespread cortical network. These results suggest that oscillatory dynamics in the theta range could be involved in integrating multimodal semantic content by creating transient functional networks linking distributed modality-specific networks and multimodal semantic hubs such as left ATL.

  6. Variations in Textualization: A Cross-generic and Cross-disciplinary Study, Implications for Readability of the Academic Discourse

    Directory of Open Access Journals (Sweden)

    Mina Abbasi Bonabi

    2018-01-01

    Full Text Available According to discoursal views on language, variations in textualization strategies are always socio-contextually motivated and never happen at random. The textual forms employed in a text, along with many other discoursal and contextual factors, could certainly affect the readability of the text, making it more or less processable for the same reader. On the basis of these assumptions, the present study set out to examine how our data varied across genres and disciplines in terms of our target textual forms. These forms are as follows: the magnitude of T-unit (MOTU, the degree of embeddedness of the main verb in T-unit (DE, the physical distance between the verb and its satellite elements (PD, the magnitude of the noun phrase appearing before the verb (MOX, and the magnitude of noun phrase appearing after the verb (MOY. Our data consisted of 20 research articles randomly selected from two different disciplines of Biology and Applied Linguistics, to be analyzed in terms of the above-named textual strategies. One way ANOVA and post hoc Tukey tests were used for data analyses. The results revealed cross-generic as well as cross-disciplinary differences in the employment of the above textual forms. These findings were discussed in terms of the academic concepts and discourse on the one hand and the possible effect of the required textual forms on the readability of the text on the other hand.

  7. Evidence for CP violation in time-integrated $D^0 \\rightarrow h^-h^+$ decay rates

    CERN Document Server

    Aaij, R; Adeva, B; Adinolfi, M; Adrover, C; Affolder, A; Ajaltouni, Z; Albrecht, J; Alessio, F; Alexander, M; Alkhazov, G; Alvarez Cartelle, P; Alves, A A; Amato, S; Amhis, Y; Anderson, J; Appleby, R B; Aquines Gutierrez, O; Archilli, F; Arrabito, L; Artamonov, A; Artuso, M; Aslanides, E; Auriemma, G; Bachmann, S; Back, J J; Bailey, D S; Balagura, V; Baldini, W; Barlow, R J; Barschel, C; Barsuk, S; Barter, W; Bates, A; Bauer, C; Bauer, Th; Bay, A; Bediaga, I; Belogurov, S; Belous, K; Belyaev, I; Ben-Haim, E; Benayoun, M; Bencivenni, G; Benson, S; Benton, J; Bernet, R; Bettler, M-O; van Beuzekom, M; Bien, A; Bifani, S; Bird, T; Bizzeti, A; Bjørnstad, P M; Blake, T; Blanc, F; Blanks, C; Blouw, J; Blusk, S; Bobrov, A; Bocci, V; Bondar, A; Bondar, N; Bonivento, W; Borghi, S; Borgia, A; Bowcock, T J V; Bozzi, C; Brambach, T; van den Brand, J; Bressieux, J; Brett, D; Britsch, M; Britton, T; Brook, N H; Brown, H; Büchler-Germann, A; Burducea, I; Bursche, A; Buytaert, J; Cadeddu, S; Callot, O; Calvi, M; Calvo Gomez, M; Camboni, A; Campana, P; Carbone, A; Carboni, G; Cardinale, R; Cardini, A; Carson, L; Carvalho Akiba, K; Casse, G; Cattaneo, M; Cauet, Ch; Charles, M; Charpentier, Ph; Chiapolini, N; Ciba, K; Cid Vidal, X; Ciezarek, G; Clarke, P E L; Clemencic, M; Cliff, H V; Closier, J; Coca, C; Coco, V; Cogan, J; Collins, P; Comerma-Montells, A; Constantin, F; Contu, A; Cook, A; Coombes, M; Corti, G; Cowan, G A; Currie, R; D'Ambrosio, C; David, P; David, P N Y; De Bonis, I; De Capua, S; De Cian, M; De Lorenzi, F; De Miranda, J M; De Paula, L; De Simone, P; Decamp, D; Deckenhoff, M; Degaudenzi, H; Del Buono, L; Deplano, C; Derkach, D; Deschamps, O; Dettori, F; Dickens, J; Dijkstra, H; Diniz Batista, P; Domingo Bonal, F; Donleavy, S; Dordei, F; Dosil Suárez, A; Dossett, D; Dovbnya, A; Dupertuis, F; Dzhelyadin, R; Dziurda, A; Easo, S; Egede, U; Egorychev, V; Eidelman, S; van Eijk, D; Eisele, F; Eisenhardt, S; Ekelhof, R; Eklund, L; Elsasser, Ch; Elsby, D; Esperante Pereira, D; Estève, L; Falabella, A; Fanchini, E; Färber, C; Fardell, G; Farinelli, C; Farry, S; Fave, V; Fernandez Albor, V; Ferro-Luzzi, M; Filippov, S; Fitzpatrick, C; Fontana, M; Fontanelli, F; Forty, R; Frank, M; Frei, C; Frosini, M; Furcas, S; Gallas Torreira, A; Galli, D; Gandelman, M; Gandini, P; Gao, Y; Garnier, J-C; Garofoli, J; Garra Tico, J; Garrido, L; Gascon, D; Gaspar, C; Gauvin, N; Gersabeck, M; Gershon, T; Ghez, Ph; Gibson, V; Gligorov, V V; Göbel, C; Golubkov, D; Golutvin, A; Gomes, A; Gordon, H; Grabalosa Gándara, M; Graciani Diaz, R; Granado Cardoso, L A; Graugés, E; Graziani, G; Grecu, A; Greening, E; Gregson, S; Gui, B; Gushchin, E; Guz, Yu; Gys, T; Haefeli, G; Haen, C; Haines, S C; Hampson, T; Hansmann-Menzemer, S; Harji, R; Harnew, N; Harrison, J; Harrison, P F; Hartmann, T; He, J; Heijne, V; Hennessy, K; Henrard, P; Hernando Morata, J A; van Herwijnen, E; Hicks, E; Holubyev, K; Hopchev, P; Hulsbergen, W; Hunt, P; Huse, T; Huston, R S; Hutchcroft, D; Hynds, D; Iakovenko, V; Ilten, P; Imong, J; Jacobsson, R; Jaeger, A; Jahjah Hussein, M; Jans, E; Jansen, F; Jaton, P; Jean-Marie, B; Jing, F; John, M; Johnson, D; Jones, C R; Jost, B; Kaballo, M; Kandybei, S; Karacson, M; Karbach, T M; Keaveney, J; Kenyon, I R; Kerzel, U; Ketel, T; Keune, A; Khanji, B; Kim, Y M; Knecht, M; Koopman, R; Koppenburg, P; Kozlinskiy, A; Kravchuk, L; Kreplin, K; Kreps, M; Krocker, G; Krokovny, P; Kruse, F; Kruzelecki, K; Kucharczyk, M; Kvaratskheliya, T; La Thi, V N; Lacarrere, D; Lafferty, G; Lai, A; Lambert, D; Lambert, R W; Lanciotti, E; Lanfranchi, G; Langenbruch, C; Latham, T; Lazzeroni, C; Le Gac, R; van Leerdam, J; Lees, J-P; Lefèvre, R; Leflat, A; Lefrançois, J; Leroy, O; Lesiak, T; Li, L; Li Gioi, L; Lieng, M; Liles, M; Lindner, R; Linn, C; Liu, B; Liu, G; von Loeben, J; Lopes, J H; Lopez Asamar, E; Lopez-March, N; Lu, H; Luisier, J; Mac Raighne, A; Machefert, F; Machikhiliyan, I V; Maciuc, F; Maev, O; Magnin, J; Malde, S; Mamunur, R M D; Manca, G; Mancinelli, G; Mangiafave, N; Marconi, U; Märki, R; Marks, J; Martellotti, G; Martens, A; Martin, L; Martín Sánchez, A; Martinez Santos, D; Massafferri, A; Mathe, Z; Matteuzzi, C; Matveev, M; Maurice, E; Maynard, B; Mazurov, A; McGregor, G; McNulty, R; Meissner, M; Merk, M; Merkel, J; Messi, R; Miglioranzi, S; Milanes, D A; Minard, M-N; Molina Rodriguez, J; Monteil, S; Moran, D; Morawski, P; Mountain, R; Mous, I; Muheim, F; Müller, K; Muresan, R; Muryn, B; Muster, B; Musy, M; Mylroie-Smith, J; Naik, P; Nakada, T; Nandakumar, R; Nasteva, I; Nedos, M; Needham, M; Neufeld, N; Nguyen-Mau, C; Nicol, M; Niess, V; Nikitin, N; Nomerotski, A; Novoselov, A; Oblakowska-Mucha, A; Obraztsov, V; Oggero, S; Ogilvy, S; Okhrimenko, O; Oldeman, R; Orlandea, M; Otalorav Goicochea, J M; Owen, P; Pal, K; Palacios, J; Palano, A; Palutan, M; Panman, J; Papanestis, A; Pappagallo, M; Parkes, C; Parkinson, C J; Passaleva, G; Patel, G D; Patel, M; Paterson, S K; Patrick, G N; Patrignani, C; Pavel-Nicorescu, C; Pazos Alvarez, A; Pellegrino, A; Penso, G; Pepe Altarelli, M; Perazzini, S; Perego, D L; Perez Trigo, E; Pérez-Calero Yzquierdo, A; Perret, P; Perrin-Terrin, M; Pessina, G; Petrella, A; Petrolini, A; Phan, A; Picatoste Olloqui, E; Pie Valls, B; Pietrzyk, B; Pilař, T; Pinci, D; Plackett, R; Playfer, S; Plo Casasus, M; Polok, G; Poluektov, A; Polycarpo, E; Popov, D; Popovici, B; Potterat, C; Powell, A; Prisciandaro, J; Pugatch, V; Puig Navarro, A; Qian, W; Rademacker, J H; Rakotomiaramanana, B; Rangel, M S; Raniuk, I; Raven, G; Redford, S; Reid, M M; dos Reis, A C; Ricciardi, S; Rinnert, K; Roa Romero, D A; Robbe, P; Rodrigues, E; Rodrigues, F; Rodriguez Perez, P; Rogers, G J; Roiser, S; Romanovsky, V; Rosello, M; Rouvinet, J; Ruf, T; Ruiz, H; Sabatino, G; Saborido Silva, J J; Sagidova, N; Sail, P; Saitta, B; Salzmann, C; Sannino, M; Santacesaria, R; Santamarina Rios, C; Santinelli, R; Santovetti, E; Sapunov, M; Sarti, A; Satriano, C; Satta, A; Savrie, M; Savrina, D; Schaack, P; Schiller, M; Schleich, S; Schlupp, M; Schmelling, M; Schmidt, B; Schneider, O; Schopper, A; Schune, M-H; Schwemmer, R; Sciascia, B; Sciubba, A; Seco, M; Semennikov, A; Senderowska, K; Sepp, I; Serra, N; Serrano, J; Seyfert, P; Shapkin, M; Shapoval, I; Shatalov, P; Shcheglov, Y; Shears, T; Shekhtman, L; Shevchenko, O; Shevchenko, V; Shires, A; Silva Coutinho, R; Skwarnicki, T; Smith, A C; Smith, N A; Smith, E; Sobczak, K; Soler, F J P; Solomin, A; Soomro, F; Souza De Paula, B; Spaan, B; Sparkes, A; Spradlin, P; Stagni, F; Stahl, S; Steinkamp, O; Stoica, S; Stone, S; Storaci, B; Straticiuc, M; Straumann, U; Subbiah, V K; Swientek, S; Szczekowski, M; Szczypka, P; Szumlak, T; T'Jampens, S; Teodorescu, E; Teubert, F; Thomas, C; Thomas, E; van Tilburg, J; Tisserand, V; Tobin, M; Topp-Joergensen, S; Torr, N; Tournefier, E; Tran, M T; Tsaregorodtsev, A; Tuning, N; Ubeda Garcia, M; Ukleja, A; Urquijo, P; Uwer, U; Vagnoni, V; Valenti, G; Vazquez Gomez, R; Vazquez Regueiro, P; Vecchi, S; Velthuis, J J; Veltri, M; Viaud, B; Videau, I; Vilasis-Cardona, X; Visniakov, J; Vollhardt, A; Volyanskyy, D; Voong, D; Vorobyev, A; Voss, H; Wandernoth, S; Wang, J; Ward, D R; Watson, N K; Webber, A D; Websdale, D; Whitehead, M; Wiedner, D; Wiggers, L; Wilkinson, G; Williams, M P; Williams, M; Wilson, F F; Wishahi, J; Witek, M; Witzeling, W; Wotton, S A; Wyllie, K; Xie, Y; Xing, F; Xing, Z; Yang, Z; Young, R; Yushchenko, O; Zavertyaev, M; Zhang, F; Zhang, L; Zhang, W C; Zhang, Y; Zhelezov, A; Zhong, L; Zverev, E; Zvyagin, A

    2012-01-01

    A search for time-integrated $CP$ violation in $D^0 \\rightarrow h^-h^+$ ($h=K$, $\\pi$) decays is presented using 0.62~fb$^{-1}$ of data collected by LHCb in 2011. The flavor of the charm meson is determined by the charge of the slow pion in the $D^{*+} \\rightarrow D^0 \\pi^+$ and $D^{*-} \\rightarrow \\overline{D}^0 \\pi^-$ decay chains. The difference in $CP$ asymmetry between $D^0 \\rightarrow K^- K^+$ and $D^0 \\rightarrow \\pi^- \\pi^+$, $\\Delta A_{CP} \\equiv A_{CP}(K^-K^+) \\, - \\, A_{CP}(\\pi^-\\pi^+)$, is measured to be $\\left[ -0.82 \\pm 0.21 (\\mathrm{stat.}) \\pm 0.11 (\\mathrm{syst.}) \\right]\\%$. This differs from the hypothesis of $CP$ conservation by $3.5$ standard deviations.

  8. Users Ability to Share Knowledge when Integrated in New Product Development - Evidence from the Pharmaceutical Industry

    DEFF Research Database (Denmark)

    Smed, Marie; Salomo, Søren; Schultz, Carsten

    their professional experiences, but also concerningissues, which go beyond their pre-defined role. The overall research question for this paper is therefore: Can usersability to share their knowledge obtained in product development integration be differentiated by topic area? Are topicareas related to their own......In technological intensive industries knowledge input from both internal and external sources is crucial (Ahuja 2000,Gulati ét al. 2000, Von Hippel 2005; Thompson 2005). A highly well informed and increasingly recognized source ofknowledge is users of these technological products. By establishing...... and maintaining a close network with key users,firms can tap into unique knowledge, which can be useful in product development processes (Urban and von Hippel1988, Shah 2000, Rothwell 1994). Previous studies have here pointed to the professional capabilities of users, whichmay generate a community of common...

  9. Neurophysiological correlates of eye movement desensitization and reprocessing sessions: preliminary evidence for traumatic memories integration.

    Science.gov (United States)

    Farina, Benedetto; Imperatori, Claudio; Quintiliani, Maria I; Castelli Gattinara, Paola; Onofri, Antonio; Lepore, Marta; Brunetti, Riccardo; Losurdo, Anna; Testani, Elisa; Della Marca, Giacomo

    2015-11-01

    We have investigated the potential role of eye movement desensitization and reprocessing (EMDR) in enhancing the integration of traumatic memories by measuring EEG coherence, power spectra and autonomic variables before (pre-EMDR) and after (post-EMDR) EMDR sessions during the recall of patient's traumatic memory. Thirteen EMDR sessions of six patients with post-traumatic stress disorder were recorded. EEG analyses were conducted by means of the standardized Low Resolution Electric Tomography (sLORETA) software. Power spectra, EEG coherence and heart rate variability (HRV) were compared between pre- and post-EMDR sessions. After EMDR, we observed a significant increase of alpha power in the left inferior temporal gyrus (T = 3.879; P = 0.041) and an increased EEG coherence in beta band between C3 and T5 electrodes (T = 6.358; P < 0.001). Furthermore, a significant increase of HRV in the post-EMDR sessions was also observed (pre-EMDR: 6.38 ± 6.83; post-EMDR: 2.46 ± 2.95; U-Test = 45, P = 0.043). Finally, the values of lagged coherence were negatively associated with subjective units of disturbance (r(24) = -0.44, P < 0.05) and positively associated with parasympathetic activity (r(24) = 0.40, P < 0.05). Our results suggest that EMDR leads to an integration of dissociated aspects of traumatic memories and, consequently, a decrease of hyperarousal symptoms [Correction made here after initial publication]. © 2014 Scandinavian Society of Clinical Physiology and Nuclear Medicine. Published by John Wiley & Sons Ltd.

  10. Integration of evidence-based and experience-based design: contributions from a study in a health care service

    Directory of Open Access Journals (Sweden)

    Mirela S. da Rosa

    2015-06-01

    Full Text Available The purpose this paper is to present an integrated study of Service Design and the Mechanism of the Production Function (MPF for redesigning the health care services to improve the perceived value of the patient and increase the productivity of hospital operations by eliminating wastes. The method used was action research and applied in an ICU of a private hospital in southern Brazil. The techniques of participant observation, interviews, archival research and meetings co-creation with a team of the hospital were used to collect data. Data were analyzed through content analysis of the interviews and the Design Service and Production Engineering tools. Evidence based approaches tends to contribute to the replication of the project outcomes in future cases. The MPF can support project development in the field of Design, as well the integrated approach developed in the healthcare sector, helped to devote more time to the phases of diagnosis and implementation. The findings are useful to demonstrate that can use simultaneously approaches the Service Design and MPF for the development of more robust solutions in health care environment. Further research could be done in other private or public hospitals as well as in other hospital units besides the ICUs. Limitations include the work done in a single hospital and service unit, data collected from a small group of people in the hospital. Integrating Evidence-Based Design, Experience-Based Design and the MPF can produce a more robust way to justify and define the focus of improvements in health care services.

  11. Fuzzy Decision-Making Fuser (FDMF for Integrating Human-Machine Autonomous (HMA Systems with Adaptive Evidence Sources

    Directory of Open Access Journals (Sweden)

    Yu-Ting Liu

    2017-06-01

    Full Text Available A brain-computer interface (BCI creates a direct communication pathway between the human brain and an external device or system. In contrast to patient-oriented BCIs, which are intended to restore inoperative or malfunctioning aspects of the nervous system, a growing number of BCI studies focus on designing auxiliary systems that are intended for everyday use. The goal of building these BCIs is to provide capabilities that augment existing intact physical and mental capabilities. However, a key challenge to BCI research is human variability; factors such as fatigue, inattention, and stress vary both across different individuals and for the same individual over time. If these issues are addressed, autonomous systems may provide additional benefits that enhance system performance and prevent problems introduced by individual human variability. This study proposes a human-machine autonomous (HMA system that simultaneously aggregates human and machine knowledge to recognize targets in a rapid serial visual presentation (RSVP task. The HMA focuses on integrating an RSVP BCI with computer vision techniques in an image-labeling domain. A fuzzy decision-making fuser (FDMF is then applied in the HMA system to provide a natural adaptive framework for evidence-based inference by incorporating an integrated summary of the available evidence (i.e., human and machine decisions and associated uncertainty. Consequently, the HMA system dynamically aggregates decisions involving uncertainties from both human and autonomous agents. The collaborative decisions made by an HMA system can achieve and maintain superior performance more efficiently than either the human or autonomous agents can achieve independently. The experimental results shown in this study suggest that the proposed HMA system with the FDMF can effectively fuse decisions from human brain activities and the computer vision techniques to improve overall performance on the RSVP recognition task. This

  12. Fuzzy Decision-Making Fuser (FDMF) for Integrating Human-Machine Autonomous (HMA) Systems with Adaptive Evidence Sources.

    Science.gov (United States)

    Liu, Yu-Ting; Pal, Nikhil R; Marathe, Amar R; Wang, Yu-Kai; Lin, Chin-Teng

    2017-01-01

    A brain-computer interface (BCI) creates a direct communication pathway between the human brain and an external device or system. In contrast to patient-oriented BCIs, which are intended to restore inoperative or malfunctioning aspects of the nervous system, a growing number of BCI studies focus on designing auxiliary systems that are intended for everyday use. The goal of building these BCIs is to provide capabilities that augment existing intact physical and mental capabilities. However, a key challenge to BCI research is human variability; factors such as fatigue, inattention, and stress vary both across different individuals and for the same individual over time. If these issues are addressed, autonomous systems may provide additional benefits that enhance system performance and prevent problems introduced by individual human variability. This study proposes a human-machine autonomous (HMA) system that simultaneously aggregates human and machine knowledge to recognize targets in a rapid serial visual presentation (RSVP) task. The HMA focuses on integrating an RSVP BCI with computer vision techniques in an image-labeling domain. A fuzzy decision-making fuser (FDMF) is then applied in the HMA system to provide a natural adaptive framework for evidence-based inference by incorporating an integrated summary of the available evidence (i.e., human and machine decisions) and associated uncertainty. Consequently, the HMA system dynamically aggregates decisions involving uncertainties from both human and autonomous agents. The collaborative decisions made by an HMA system can achieve and maintain superior performance more efficiently than either the human or autonomous agents can achieve independently. The experimental results shown in this study suggest that the proposed HMA system with the FDMF can effectively fuse decisions from human brain activities and the computer vision techniques to improve overall performance on the RSVP recognition task. This conclusion

  13. Can Mindfulness Training Improve Medication Adherence? Integrative Review of the Current Evidence and Proposed Conceptual Model.

    Science.gov (United States)

    Salmoirago-Blotcher, Elena; Carey, Michael P

    Medication adherence is a complex, multi-determined behavior that is often influenced by system- (e.g., cost), drug- (e.g., regimen complexity), and patient-related (e.g., depression) factors. System-level approaches (e.g., making medications more affordable) are critically important but do not address patient-level factors that can undermine adherence. In this paper, we identify patient-level determinants of non-adherence and discuss whether mindfulness-training approaches that target these determinants can help to improve adherence to medical treatment. We highlight two chronic medical conditions (viz., heart failure and HIV) where poor adherence is a significant concern, and examine the evidence regarding the use of mindfulness interventions to improve medication adherence in these two conditions. We also discuss the theoretical underpinnings of mindfulness training with respect to medication adherence, and conclude by suggesting directions for future research. Copyright © 2018 Elsevier Inc. All rights reserved.

  14. The evolution and cultural transmission of percussive technology: integrating evidence from palaeoanthropology and primatology.

    Science.gov (United States)

    Whiten, Andrew; Schick, Kathy; Toth, Nicholas

    2009-10-01

    We bring together the quite different kinds of evidence available from palaeoanthropology and primatology to better understand the origins of Plio-Pleistocene percussive technology. Accumulated palaeoanthropological discoveries now document the Oldowan Complex as the dominant stone tool making culture between 2.6-1.4 Ma, the earlier part of this contemporaneous with pre-Homo hominins. The principal types of artefacts and other remains from 20 Early Stone Age (Oldowan and earliest Acheulean) localities in Africa and elsewhere are reviewed and described. To better understand the ancestral behavioural foundations of this early lithic culture, we examine a range of recent findings from primatology. In particular, we attempt to identify key shared characteristics of Homo and Pan that support inferences about the preparedness of our common ancestor for the innovation of stone tool culture. Findings of particular relevance include: (i) the discovery of an expanding repertoire of percussive and other tool use based on directed use of force among wild chimpanzees, implicating capacities that include significant innovatory potential and appreciation of relevant causal factors; (ii) evidence of material cultural diversity among wild chimpanzees, indicating a readiness to acquire and transmit tool use innovations; and (iii) experimental studies of social learning in chimpanzees and bonobos that now encompass the acquisition of nut cracking through observation of skilled use of hammers and anvils by conspecifics, the diffusion within and between groups of alternative styles of tool use, and the adoption of free-hand stone-to-stone percussion to create useful flakes for cutting to gain access to food resources. We use the distributions of the inferred cultural traits in the wild to assess how diffusion relates to geographic distances, and find that shared traits drop by 50% from the approximately eight characteristic of close neighbours over a distance of approximately 700 km

  15. The Desire for Amputation or Paralyzation: Evidence for Structural Brain Anomalies in Body Integrity Identity Disorder (BIID).

    Science.gov (United States)

    Blom, Rianne M; van Wingen, Guido A; van der Wal, Sija J; Luigjes, Judy; van Dijk, Milenna T; Scholte, H Steven; Denys, Damiaan

    2016-01-01

    Body Integrity Identity Disorder (BIID) is a condition in which individuals perceive a mismatch between their internal body scheme and physical body shape, resulting in an absolute desire to be either amputated or paralyzed. The condition is hypothesized to be of congenital nature, but evidence for a neuro-anatomical basis is sparse. We collected T1-weighted structural magnetic resonance imaging scans on a 3T scanner in eight individuals with BIID and 24 matched healthy controls, and analyzed the data using voxel-based morphometry. The results showed reduced grey matter volume in the left dorsal and ventral premotor cortices and larger grey matter volume in the cerebellum (lobule VIIa) in individuals with BIID compared to controls. The premotor cortex and cerebellum are thought to be crucial for the experience of body-ownership and the integration of multisensory information. Our results suggest that BIID is associated with structural brain anomalies and might result from a dysfunction in the integration of multisensory information, leading to the feeling of disunity between the mental and physical body shape.

  16. Textual analysis of sugar industry influence on the World Health Organization’s 2015 sugars intake guideline

    Science.gov (United States)

    Reeves, Aaron; Loopstra, Rachel; McKee, Martin

    2016-01-01

    Abstract Objective To determine whether sugar industry-related organizations influenced textual changes between the draft and final versions of the World Health Organization’s (WHO’s) 2015 guideline Sugars intake for adults and children. Methods Stakeholder consultation submissions on the draft guideline from seven sugar industry-related and 10 public health organizations were assessed using the Wordscores program. Document scores were rescaled using the Martin–Vanberg transformation to improve comparability. Draft and final guidelines were compared to identify changes influenced by the sugar industry and public health organizations. Findings There was a small shift in transformed Wordscores score between the draft and final guidelines, from 0.25 to 0.24, towards the industry position. The change was linked to increased use of the word “low” to describe the quality of the evidence, consistent with industry arguments. There was also a shift from use of the word “consumption” to “intake”, irrespective of policy position. Scores for World Sugar Research Organisation and Sugar Nutrition UK submissions ( 0.11 and 0.18, respectively) represented strong pro-industry positions and scores for European Public Health Alliance and Wemos submissions (1.00 and 0.88, respectively) represented the strongest public health positions. Industry tactics included challenging the quality of the evidence, distinguishing between different types of sugar and advocating harm reduction. Conclusion There was little change between draft and final versions of the WHO sugars intake guideline 2015, following industry consultation. The main change was linked to emphasizing the low quality of the evidence on sugar’s adverse effects. Guideline development appeared relatively resistant to industry influence at the stakeholder consultation stage. PMID:27516634

  17. Antipsychotic discontinuation syndromes: a narrative review of the evidence and its integration into Australian mental health nursing textbooks.

    Science.gov (United States)

    Salomon, Carmela; Hamilton, Bridget

    2014-02-01

    In light of the high number of people discontinuing antipsychotics each year, it is essential that nurses develop a robust understanding of all aspects of the discontinuation experience. While there is a large body of published work documenting post-discontinuation relapse rates, less is known about other aspects of the discontinuation experience. This paper presents the results of a narrative review of international studies of antipsychotic discontinuation syndromes and their relevance to nursing practice. Four key mental health nursing textbooks used in student nurse education in Australia are examined to assess how this evidence has been incorporated into clinical recommendations. This review finds that the evidence for discontinuation syndromes could be more widely disseminated and applied than it is at present. Strikingly, this evidence has not been incorporated into key mental health nursing textbooks in Australia at all. Slow integration into nursing published work may be influenced by a number of clinical and research uncertainties. We consider the impact of this silence on key nursing roles of psycho-education and adverse event monitoring during antipsychotic discontinuation periods. Further robust research should be conducted into discontinuation syndromes as a matter of urgency. Given the high number of consumers potentially impacted upon by discontinuation syndromes, nurse authors and educators should consider revising key nursing textbooks to include the currently available information about discontinuation syndromes. © 2012 The Authors; International Journal of Mental Health Nursing © 2012 Australian College of Mental Health Nurses Inc.

  18. [Integrity].

    Science.gov (United States)

    Gómez Rodríguez, Rafael Ángel

    2014-01-01

    To say that someone possesses integrity is to claim that that person is almost predictable about responses to specific situations, that he or she can prudentially judge and to act correctly. There is a closed interrelationship between integrity and autonomy, and the autonomy rests on the deeper moral claim of all humans to integrity of the person. Integrity has two senses of significance for medical ethic: one sense refers to the integrity of the person in the bodily, psychosocial and intellectual elements; and in the second sense, the integrity is the virtue. Another facet of integrity of the person is la integrity of values we cherish and espouse. The physician must be a person of integrity if the integrity of the patient is to be safeguarded. The autonomy has reduced the violations in the past, but the character and virtues of the physician are the ultimate safeguard of autonomy of patient. A field very important in medicine is the scientific research. It is the character of the investigator that determines the moral quality of research. The problem arises when legitimate self-interests are replaced by selfish, particularly when human subjects are involved. The final safeguard of moral quality of research is the character and conscience of the investigator. Teaching must be relevant in the scientific field, but the most effective way to teach virtue ethics is through the example of the a respected scientist.

  19. The Integration of Realistic Episodic Memories Relies on Different Working Memory Processes: Evidence from Virtual Navigation

    Directory of Open Access Journals (Sweden)

    Gaën Plancher

    2018-01-01

    Full Text Available Memory is one of the most important cognitive functions in a person’s life as it is essential for recalling personal memories and performing many everyday tasks. Although a huge number of studies have been conducted in the field, only a few of them investigated memory in realistic situations, due to methodological issues. The various tools that have been developed using virtual environments (VEs have gained popularity in cognitive psychology and neuropsychology because they enable to create naturalistic and controlled situations, and are thus particularly adapted to the study of episodic memory (EM, for which an ecological evaluation is of prime importance. EM is the conscious recollection of personal events combined with their phenomenological and spatiotemporal encoding contexts. Using an original paradigm in a VE, the objective of the present study was to characterize the construction of episodic memories. While the concept of working memory has become central in the understanding of a wide range of cognitive functions, its role in the integration of episodic memories has seldom been assessed in an ecological context. This experiment aimed at filling this gap by studying how EM is affected by concurrent tasks requiring working memory resources in a realistic situation. Participants navigated in a virtual town and had to memorize as many elements in their spatiotemporal context as they could. During learning, participants had either to perform a concurrent task meant to prevent maintenance through the phonological loop, or a task aimed at preventing maintenance through the visuospatial sketchpad, or no concurrent task. EM was assessed in a recall test performed after learning through various scores measuring the what, where and when of the memories. Results showed that, compared to the control condition with no concurrent task, the prevention of maintenance through the phonological loop had a deleterious impact only on the encoding of

  20. The Integration of Realistic Episodic Memories Relies on Different Working Memory Processes: Evidence from Virtual Navigation.

    Science.gov (United States)

    Plancher, Gaën; Gyselinck, Valérie; Piolino, Pascale

    2018-01-01

    Memory is one of the most important cognitive functions in a person's life as it is essential for recalling personal memories and performing many everyday tasks. Although a huge number of studies have been conducted in the field, only a few of them investigated memory in realistic situations, due to methodological issues. The various tools that have been developed using virtual environments (VEs) have gained popularity in cognitive psychology and neuropsychology because they enable to create naturalistic and controlled situations, and are thus particularly adapted to the study of episodic memory (EM), for which an ecological evaluation is of prime importance. EM is the conscious recollection of personal events combined with their phenomenological and spatiotemporal encoding contexts. Using an original paradigm in a VE, the objective of the present study was to characterize the construction of episodic memories. While the concept of working memory has become central in the understanding of a wide range of cognitive functions, its role in the integration of episodic memories has seldom been assessed in an ecological context. This experiment aimed at filling this gap by studying how EM is affected by concurrent tasks requiring working memory resources in a realistic situation. Participants navigated in a virtual town and had to memorize as many elements in their spatiotemporal context as they could. During learning, participants had either to perform a concurrent task meant to prevent maintenance through the phonological loop, or a task aimed at preventing maintenance through the visuospatial sketchpad, or no concurrent task. EM was assessed in a recall test performed after learning through various scores measuring the what, where and when of the memories. Results showed that, compared to the control condition with no concurrent task, the prevention of maintenance through the phonological loop had a deleterious impact only on the encoding of central elements. By

  1. Health economics evidence for medical nutrition: are these interventions value for money in integrated care?

    Science.gov (United States)

    Walzer, Stefan; Droeschel, Daniel; Nuijten, Mark; Chevrou-Séverac, Hélène

    2014-01-01

    Health care decision-makers have begun to realize that medical nutrition plays an important role in the delivery of care, and it needs to be seen as a sole category within the overall health care reimbursement system to establish the value for money. Indeed, improving health through improving patients' nutrition may contribute to the cost-effectiveness and financial sustainability of health care systems. Medical nutrition is regulated by a specific bill either in Europe or in the United States, which offers specific legislations and guidelines (as provided to patients with special nutritional needs) and indications for nutritional support. Given that the efficacy of medical nutrition has been proven, one can wonder whether the heterogeneous nature of its coverage/reimbursement across countries might be due to the lack of health-related economic evidence or value-for-money of nutritional interventions. This paper aims to address this knowledge gap by performing a systematic literature review on health economics evidence regarding medical nutrition, and by summarizing the results of these publications related to the value for money of medical nutrition interventions. A systematic literature search was initiated and executed based on a predefined search protocol following the population, intervention, comparison, and outcomes (PICO) criteria. Following the systematic literature search of recently published literature on health economics evidence regarding medical nutrition, this study aims to summarize the results of those publications that are related to the value for money of medical nutrition interventions. The evaluations were conducted by analyzing different medical nutrition according to their indications, the economic methodology or perspective adopted, the cost source and utility measures, selected efficiency measures, as well as the incremental cost-effectiveness ratio. A total of 225 abstracts were identified for the detailed review, and the data were

  2. Bolstering the Evidence Base for Integrating Abortion and HIV Care: A Literature Review

    Directory of Open Access Journals (Sweden)

    Ruth Manski

    2012-01-01

    Full Text Available HIV-positive women have abortions at similar rates to their HIV-negative counterparts, yet little is known about clinical outcomes of abortion for HIV-positive women or the best practices for abortion provision. To fill that gap, we conducted a literature review of clinical outcomes of surgical and medication abortion among HIV-positive women. We identified three studies on clinical outcomes of surgical abortion among HIV-positive women; none showed significant differences in infectious complications by HIV status. A review of seven articles on similar gynecological procedures found no differences in complications by HIV status. No studies evaluated medication abortion among HIV-positive women. However, we did find that previously expressed concerns regarding blood loss and vomiting related to medication abortion for HIV-positive women are unwarranted based on our review of data showing that significant blood loss and vomiting are rare and short lived among women. We conclude that although there is limited research that addresses clinical outcomes of abortion for HIV-positive women, existing data suggest that medication and surgical abortion are safe and appropriate. Sexual and reproductive health and HIV integration efforts must include both options to prevent maternal mortality and morbidity and to ensure that HIV-positive women and women at risk of HIV can make informed reproductive decisions.

  3. Purchasing power parity: Evidence of long memory processes and fractional integration

    Directory of Open Access Journals (Sweden)

    Nadhem Selmi

    2015-07-01

    Full Text Available The Purchasing Power Parity (PPP theory, which serves as a key to the determination of several models of exchange rates, suggests a long-term relationship between exchange rates and relative prices. It states that the price levels in all the countries are the same when measured in terms of a single currency. The purpose of this study is to model the behavior of the exchange rates of five partner countries of Tunisia, namely, (Germany, the United States, France, Italy, the UK, Morocco and Libya relative to its fundamentals over the period 1990-1999. Beyond the traditional linear cointegration, we use the approaches based on fractional cointegration. We are trying to discriminate between the adjustment dynamics with long memory (but linear and a dynamics of a short memory (nonlinear. Given the important role of the exchange rates in the successful experience of open economies, we are interested, in this work, in analyzing the dynamics of the exchange rates in the long run. The econometric results obtained through the GPH tests, make us consider the PPP as an event in the long run if significant short-term deviations from the PPP cannot exist. Therefore, the analysis of the fractional cointegration makes the deviations, regarding equilibrium, follow a slightly integrated process and therefore capture a much wider group of research parity or mean-reverting behavior.

  4. Sequential Modulations in a Combined Horizontal and Vertical Simon Task: Is There ERP Evidence for Feature Integration Effects?

    Science.gov (United States)

    Hoppe, Katharina; Küper, Kristina; Wascher, Edmund

    2017-01-01

    In the Simon task, participants respond faster when the task-irrelevant stimulus position and the response position are corresponding, for example on the same side, compared to when they have a non-corresponding relation. Interestingly, this Simon effect is reduced after non-corresponding trials. Such sequential effects can be explained in terms of a more focused processing of the relevant stimulus dimension due to increased cognitive control, which transfers from the previous non-corresponding trial (conflict adaptation effects). Alternatively, sequential modulations of the Simon effect can also be due to the degree of trial-to-trial repetitions and alternations of task features, which is confounded with the correspondence sequence (feature integration effects). In the present study, we used a spatially two-dimensional Simon task with vertical response keys to examine the contribution of adaptive cognitive control and feature integration processes to the sequential modulation of the Simon effect. The two-dimensional Simon task creates correspondences in the vertical as well as in the horizontal dimension. A trial-by-trial alternation of the spatial dimension, for example from a vertical to a horizontal stimulus presentation, generates a subset containing no complete repetitions of task features, but only complete alternations and partial repetitions, which are equally distributed over all correspondence sequences. In line with the assumed feature integration effects, we found sequential modulations of the Simon effect only when the spatial dimension repeated. At least for the horizontal dimension, this pattern was confirmed by the parietal P3b, an event-related potential that is assumed to reflect stimulus-response link processes. Contrary to conflict adaptation effects, cognitive control, measured by the fronto-central N2 component of the EEG, was not sequentially modulated. Overall, our data provide behavioral as well as electrophysiological evidence for feature

  5. How lexical is the lexicon? Evidence for integrated auditory memory representations.

    Science.gov (United States)

    Pufahl, April; Samuel, Arthur G

    2014-05-01

    Previous research has shown that lexical representations must include not only linguistic information (what word was said), but also indexical information (how it was said, and by whom). The present work demonstrates that even this expansion is not sufficient. Seemingly irrelevant information, such as an unattended background sound, is retained in memory and can facilitate subsequent speech perception. We presented participants with spoken words paired with environmental sounds (e.g., a phone ringing), and had them make an "animate/inanimate" decision for each word. Later performance identifying filtered versions of the words was impaired to a similar degree if the voice changed or if the environmental sound changed. Moreover, when quite dissimilar words were used at exposure and test, we observed the same result when we reversed the roles of the words and the environmental sounds. The experiments also demonstrated limits to these effects, with no benefit from repetition. Theoretically, our results support two alternative possibilities: (1) Lexical representations are memory representations, and are not walled off from those for other sounds. Indexical effects reflect simply one type of co-occurrence that is incorporated into such representations. (2) The existing literature on indexical effects does not actually bear on lexical representations - voice changes, like environmental sounds heard with a word, produce implicit memory effects that are not tied to the lexicon. We discuss the evidence and implications of these two theoretical alternatives. Copyright © 2014 Elsevier Inc. All rights reserved.

  6. Evidence-based integrated environmental solutions for secondary lead smelters: Pollution prevention and waste minimization technologies and practices

    Energy Technology Data Exchange (ETDEWEB)

    Genaidy, A.M., E-mail: world_tek_inc@yahoo.com [University of Cincinnati, Cincinnati, Ohio (United States); Sequeira, R. [University of Cincinnati, Cincinnati, Ohio (United States); Tolaymat, T. [U.S. Environmental Protection Agency, Office of Research and Development, Cincinnati, Ohio (United States); Kohler, J. [US Environmental Protection Agency, Office of Solid Waste and Emergency Response, Washington DC (United States); Rinder, M. [WorldTek Inc, Cincinnati (United States)

    2009-05-01

    An evidence-based methodology was adopted in this research to establish strategies to increase lead recovery and recycling via a systematic review and critical appraisal of the published literature. In particular, the research examines pollution prevention and waste minimization practices and technologies that meet the following criteria: (a) reduce/recover/recycle the largest quantities of lead currently being disposed of as waste, (b) technically and economically viable, that is, ready to be diffused and easily transferable, and (c) strong industry interest (i.e., industry would consider implementing projects with higher payback periods). The following specific aims are designed to achieve the study objectives: Aim 1 - To describe the recycling process of recovering refined lead from scrap; Aim 2 - To document pollution prevention and waste management technologies and practices adopted by US stakeholders along the trajectory of LAB and lead product life cycle; Aim 3 - To explore improved practices and technologies which are employed by other organizations with an emphasis on the aforementioned criteria; Aim 4 - To demonstrate the economic and environmental costs and benefits of applying improved technologies and practices to existing US smelting operations; and Aim 5 - To evaluate improved environmental technologies and practices using an algorithm that integrates quantitative and qualitative criteria. The process of identifying relevant articles and reports was documented. The description of evidence was presented for current practices and technologies used by US smelters as well as improved practices and technologies. Options for integrated environmental solutions for secondary smelters were introduced and rank ordered on the basis of costs (i.e., capital investment) and benefits (i.e., production increases, energy and flux savings, and reduction of SO2 and slag). An example was provided to demonstrate the utility of the algorithm by detailing the costs and

  7. Evidence-based integrated environmental solutions for secondary lead smelters: pollution prevention and waste minimization technologies and practices.

    Science.gov (United States)

    Genaidy, A M; Sequeira, R; Tolaymat, T; Kohler, J; Rinder, M

    2009-05-01

    An evidence-based methodology was adopted in this research to establish strategies to increase lead recovery and recycling via a systematic review and critical appraisal of the published literature. In particular, the research examines pollution prevention and waste minimization practices and technologies that meet the following criteria: (a) reduce/recover/recycle the largest quantities of lead currently being disposed of as waste, (b) technically and economically viable, that is, ready to be diffused and easily transferable, and (c) strong industry interest (i.e., industry would consider implementing projects with higher payback periods). The following specific aims are designed to achieve the study objectives: Aim 1 - To describe the recycling process of recovering refined lead from scrap; Aim 2 - To document pollution prevention and waste management technologies and practices adopted by US stakeholders along the trajectory of LAB and lead product life cycle; Aim 3 - To explore improved practices and technologies which are employed by other organizations with an emphasis on the aforementioned criteria; Aim 4 - To demonstrate the economic and environmental costs and benefits of applying improved technologies and practices to existing US smelting operations; and Aim 5 - To evaluate improved environmental technologies and practices using an algorithm that integrates quantitative and qualitative criteria. The process of identifying relevant articles and reports was documented. The description of evidence was presented for current practices and technologies used by US smelters as well as improved practices and technologies. Options for integrated environmental solutions for secondary smelters were introduced and rank ordered on the basis of costs (i.e., capital investment) and benefits (i.e., production increases, energy and flux savings, and reduction of SO(2) and slag). An example was provided to demonstrate the utility of the algorithm by detailing the costs and

  8. SECRETARIAT AND TEXTUAL PRODUCTION: ARGUMENTATION IN THE TEXTUAL GENRE LETTER OF DECLARATION O SECRETARIADO E A PRODUÇÃO TEXTUAL: A ARGUMENTAÇÃO NO GÊNERO DECLARAÇÃO

    Directory of Open Access Journals (Sweden)

    Erivaldo Pereira do Nascimento

    2012-05-01

    Full Text Available

    This article aims at describing the semantic argumentative structure of the textual/discursive genre Letter of Declaration, one of the documents with which the executive secretary frequently deals. This investigation is based on the Argumention Theory in the Language proposed by Ducrot (1988,1987. We also used the studies about Discursive Modalization proposed by Koch (2002, Castilho e Castilho (1993, Nascimento (2005, among others. Modalization is considered here as a semantic argumentative strategy, as it enables the speaker to make a statement or to express a point of view about the content of his/her enunciation, according to the interlocution. This study about the previously mentioned gender is qualitative, quantitative and descriptive. The corpus used is composed of 20 (twenty Letters of Declaration issued by different organizations or private and public institutions. We perceived that in the Letters of Declaration analysed argumentation is achieved by the use of modalizers and argumentative operators, used by the speaker to produce different effects of meaning in the texts.

    Este artigo tem como objetivo descrever a estrutura semântico-argumentativa do gênero textual/discursivo declaração, um dos documentos com o qual o profissional de Secretariado lida frequentemente. Essa investigação tem como base a Teoria da Argumentação na Língua, proposta por Ducrot (1988, 1987. Utilizamos também os estudos de Modalização Discursiva, proposta por Koch (2002, Castilho e Castilho (1993, Nascimento (2005, entre outros. A modalização é aqui considerada como uma estratégia semântico-argumentativa, uma vez que permite ao locutor imprimir uma avaliação ou ponto de vista sobre o conteúdo de seu enunciado, em função da interlocução. A investigação realizada a respeito do referido gênero é de natureza qualitativa e quantitativa, de cunho descritivo, e o corpus utilizado é constituído por 20

  9. An integrative computational analysis provides evidence for FBN1-associated network deregulation in trisomy 21

    Directory of Open Access Journals (Sweden)

    Mireia Vilardell

    2013-06-01

    Although approximately 50% of Down Syndrome (DS patients have heart abnormalities, they exhibit an overprotection against cardiac abnormalities related with the connective tissue, for example a lower risk of coronary artery disease. A recent study reported a case of a person affected by DS who carried mutations in FBN1, the gene causative for a connective tissue disorder called Marfan Syndrome (MFS. The fact that the person did not have any cardiac alterations suggested compensation effects due to DS. This observation is supported by a previous DS meta-analysis at the molecular level where we have found an overall upregulation of FBN1 (which is usually downregulated in MFS. Additionally, that result was cross-validated with independent expression data from DS heart tissue. The aim of this work is to elucidate the role of FBN1 in DS and to establish a molecular link to MFS and MFS-related syndromes using a computational approach. To reach that, we conducted different analytical approaches over two DS studies (our previous meta-analysis and independent expression data from DS heart tissue and revealed expression alterations in the FBN1 interaction network, in FBN1 co-expressed genes and FBN1-related pathways. After merging the significant results from different datasets with a Bayesian approach, we prioritized 85 genes that were able to distinguish control from DS cases. We further found evidence for several of these genes (47%, such as FBN1, DCN, and COL1A2, being dysregulated in MFS and MFS-related diseases. Consequently, we further encourage the scientific community to take into account FBN1 and its related network for the study of DS cardiovascular characteristics.

  10. Evidence-based practices to increase hand hygiene compliance in health care facilities: An integrated review.

    Science.gov (United States)

    Neo, Jun Rong Jeffrey; Sagha-Zadeh, Rana; Vielemeyer, Ole; Franklin, Ella

    2016-06-01

    Hand hygiene (HH) in health care facilities is a key component to reduce pathogen transmission and nosocomial infections. However, most HH interventions (HHI) have not been sustainable. This review aims to provide a comprehensive summary of recently published evidence-based HHI designed to improve HH compliance (HHC) that will enable health care providers to make informed choices when allocating limited resources to improve HHC and patient safety. The Medline electronic database (using PubMed) was used to identify relevant studies. English language articles that included hand hygiene interventions and related terms combined with health care environments or related terms were included. Seventy-three studies that met the inclusion criteria were summarized. Interventions were categorized as improving awareness with education, facility design, and planning, unit-level protocols and procedures, hospital-wide programs, and multimodal interventions. Past successful HHIs may not be as effective when applied to other health care environments. HH education should be interactive and engaging. Electronic monitoring and reminders should be implemented in phases to ensure cost-effectiveness. To create hospitalwide programs that engage end users, policy makers should draw expertise from interdisciplinary fields. Before implementing the various components of multimodal interventions, health care practitioners should identify and examine HH difficulties unique to their organizations. Future research should seek to achieve the following: replicate successful HHI in other health care environments, develop reliable HHC monitoring tools, understand caregiver-patient-family interactions, examine ways (eg, hospital leadership, financial support, and strategies from public health and infection prevention initiatives) to sustain HHC, and use simulated lab environments to refine study designs. Copyright © 2016 Association for Professionals in Infection Control and Epidemiology, Inc

  11. Evidence Report, Risk of Inadequate Design of Human and Automation/Robotic Integration

    Science.gov (United States)

    Zumbado, Jennifer Rochlis; Billman, Dorrit; Feary, Mike; Green, Collin

    2011-01-01

    The success of future exploration missions depends, even more than today, on effective integration of humans and technology (automation and robotics). This will not emerge by chance, but by design. Both crew and ground personnel will need to do more demanding tasks in more difficult conditions, amplifying the costs of poor design and the benefits of good design. This report has looked at the importance of good design and the risks from poor design from several perspectives: 1) If the relevant functions needed for a mission are not identified, then designs of technology and its use by humans are unlikely to be effective: critical functions will be missing and irrelevant functions will mislead or drain attention. 2) If functions are not distributed effectively among the (multiple) participating humans and automation/robotic systems, later design choices can do little to repair this: additional unnecessary coordination work may be introduced, workload may be redistributed to create problems, limited human attentional resources may be wasted, and the capabilities of both humans and technology underused. 3) If the design does not promote accurate understanding of the capabilities of the technology, the operators will not use the technology effectively: the system may be switched off in conditions where it would be effective, or used for tasks or in contexts where its effectiveness may be very limited. 4) If an ineffective interaction design is implemented and put into use, a wide range of problems can ensue. Many involve lack of transparency into the system: operators may be unable or find it very difficult to determine a) the current state and changes of state of the automation or robot, b) the current state and changes in state of the system being controlled or acted on, and c) what actions by human or by system had what effects. 5) If the human interfaces for operation and control of robotic agents are not designed to accommodate the unique points of view and

  12. Integrating Information Literacy and Evidence-Based Medicine Content within a New School of Medicine Curriculum: Process and Outcome.

    Science.gov (United States)

    Muellenbach, Joanne M; Houk, Kathryn M; E Thimons, Dana; Rodriguez, Bredny

    2018-01-01

    This column describes a process for integrating information literacy (IL) and evidence-based medicine (EBM) content within a new school of medicine curriculum. The project was a collaborative effort among health sciences librarians, curriculum deans, directors, and faculty. The health sciences librarians became members of the curriculum committees, developed a successful proposal for IL and EBM content within the curriculum, and were invited to become course instructors for Analytics in Medicine. As course instructors, the librarians worked with the other faculty instructors to design and deliver active learning class sessions based on a flipped classroom approach using a proprietary Information Mastery curriculum. Results of this collaboration may add to the knowledge base of attitudes and skills needed to practice as full faculty partners in curricular design and instruction.

  13. The Evidence-base for Using Ontologies and Semantic Integration Methodologies to Support Integrated Chronic Disease Management in Primary and Ambulatory Care: Realist Review. Contribution of the IMIA Primary Health Care Informatics WG.

    Science.gov (United States)

    Liyanage, H; Liaw, S-T; Kuziemsky, C; Terry, A L; Jones, S; Soler, J K; de Lusignan, S

    2013-01-01

    Most chronic diseases are managed in primary and ambulatory care. The chronic care model (CCM) suggests a wide range of community, technological, team and patient factors contribute to effective chronic disease management. Ontologies have the capability to enable formalised linkage of heterogeneous data sources as might be found across the elements of the CCM. To describe the evidence base for using ontologies and other semantic integration methods to support chronic disease management. We reviewed the evidence-base for the use of ontologies and other semantic integration methods within and across the elements of the CCM. We report them using a realist review describing the context in which the mechanism was applied, and any outcome measures. Most evidence was descriptive with an almost complete absence of empirical research and important gaps in the evidence-base. We found some use of ontologies and semantic integration methods for community support of the medical home and for care in the community. Ubiquitous information technology (IT) and other IT tools were deployed to support self-management support, use of shared registries, health behavioural models and knowledge discovery tools to improve delivery system design. Data quality issues restricted the use of clinical data; however there was an increased use of interoperable data and health system integration. Ontologies and semantic integration methods are emergent with limited evidence-base for their implementation. However, they have the potential to integrate the disparate community wide data sources to provide the information necessary for effective chronic disease management.

  14. Probabilistic inference under time pressure leads to a cortical-to-subcortical shift in decision evidence integration.

    Science.gov (United States)

    Oh-Descher, Hanna; Beck, Jeffrey M; Ferrari, Silvia; Sommer, Marc A; Egner, Tobias

    2017-11-15

    Real-life decision-making often involves combining multiple probabilistic sources of information under finite time and cognitive resources. To mitigate these pressures, people "satisfice", foregoing a full evaluation of all available evidence to focus on a subset of cues that allow for fast and "good-enough" decisions. Although this form of decision-making likely mediates many of our everyday choices, very little is known about the way in which the neural encoding of cue information changes when we satisfice under time pressure. Here, we combined human functional magnetic resonance imaging (fMRI) with a probabilistic classification task to characterize neural substrates of multi-cue decision-making under low (1500 ms) and high (500 ms) time pressure. Using variational Bayesian inference, we analyzed participants' choices to track and quantify cue usage under each experimental condition, which was then applied to model the fMRI data. Under low time pressure, participants performed near-optimally, appropriately integrating all available cues to guide choices. Both cortical (prefrontal and parietal cortex) and subcortical (hippocampal and striatal) regions encoded individual cue weights, and activity linearly tracked trial-by-trial variations in the amount of evidence and decision uncertainty. Under increased time pressure, participants adaptively shifted to using a satisficing strategy by discounting the least informative cue in their decision process. This strategic change in decision-making was associated with an increased involvement of the dopaminergic midbrain, striatum, thalamus, and cerebellum in representing and integrating cue values. We conclude that satisficing the probabilistic inference process under time pressure leads to a cortical-to-subcortical shift in the neural drivers of decisions. Copyright © 2017 Elsevier Inc. All rights reserved.

  15. A computational framework for converting textual clinical diagnostic criteria into the quality data model.

    Science.gov (United States)

    Hong, Na; Li, Dingcheng; Yu, Yue; Xiu, Qiongying; Liu, Hongfang; Jiang, Guoqian

    2016-10-01

    Constructing standard and computable clinical diagnostic criteria is an important but challenging research field in the clinical informatics community. The Quality Data Model (QDM) is emerging as a promising information model for standardizing clinical diagnostic criteria. To develop and evaluate automated methods for converting textual clinical diagnostic criteria in a structured format using QDM. We used a clinical Natural Language Processing (NLP) tool known as cTAKES to detect sentences and annotate events in diagnostic criteria. We developed a rule-based approach for assigning the QDM datatype(s) to an individual criterion, whereas we invoked a machine learning algorithm based on the Conditional Random Fields (CRFs) for annotating attributes belonging to each particular QDM datatype. We manually developed an annotated corpus as the gold standard and used standard measures (precision, recall and f-measure) for the performance evaluation. We harvested 267 individual criteria with the datatypes of Symptom and Laboratory Test from 63 textual diagnostic criteria. We manually annotated attributes and values in 142 individual Laboratory Test criteria. The average performance of our rule-based approach was 0.84 of precision, 0.86 of recall, and 0.85 of f-measure; the performance of CRFs-based classification was 0.95 of precision, 0.88 of recall and 0.91 of f-measure. We also implemented a web-based tool that automatically translates textual Laboratory Test criteria into the QDM XML template format. The results indicated that our approaches leveraging cTAKES and CRFs are effective in facilitating diagnostic criteria annotation and classification. Our NLP-based computational framework is a feasible and useful solution in developing diagnostic criteria representation and computerization. Copyright © 2016 Elsevier Inc. All rights reserved.

  16. Reconsidering the Rhizome: A Textual Analysis of Web Search Engines as Gatekeepers of the Internet

    Science.gov (United States)

    Hess, A.

    Critical theorists have often drawn from Deleuze and Guattari's notion of the rhizome when discussing the potential of the Internet. While the Internet may structurally appear as a rhizome, its day-to-day usage by millions via search engines precludes experiencing the random interconnectedness and potential democratizing function. Through a textual analysis of four search engines, I argue that Web searching has grown hierarchies, or "trees," that organize data in tracts of knowledge and place users in marketing niches rather than assist in the development of new knowledge.

  17. Comprensión y producción textual narrativa en preescolares

    OpenAIRE

    Luz Stella López Silva; Claudia Patricia Duque Aristizabal; Gina Lizeth Camargo Deluque; Amalia Ovalle Parra

    2014-01-01

    Este estudio buscó identificar y describir las habilidades de comprensión y producción textual narrativa de 158 estudiantes de transición de estrato 1 y 2 de colegios públicos de la ciudad de Barranquilla (Colombia). Para evaluar esta capacidad se les pidió a los niños que narraran un texto que se les había leído anteriormente. Las muestras de lenguaje se analizaron utilizando el software SALT y posteriormente se utilizó el software SPSS para realizar los análisis descriptivos. Se consideró l...

  18. Cocuyo: Una Matriz de identidad y su despliegue en submunrlos textuales

    OpenAIRE

    Cristián Montes

    2016-01-01

    El presente artículo intenta actualizar una lectura coherente de la novela Cocuyo. Para esto, se ha trabajado con la idea de matriz propuesta por Michael Riffatene, y de mundo posible de Tomás Albaladejo Mayordomo. Ambas teorías permiten dar cuenta del problema de la identidad desde ángulos complementarios y a partir del motivo del viaje. De este modo puede apreciarse que la matríz propuesta es desplegada en los diversos submundos textuales los cuales, a su vez, develan la imagen de mundo y d...

  19. Caudal léxico en alumnos universitarios : Implicancias para la interacción textual

    OpenAIRE

    Piatti, Vanesa; Fernicola, Alfredo; Melillo, Oscar Roberto; Peralta, Diego

    2011-01-01

    En este trabajo se comunican los resultados preliminares de una investigación en curso. Específicamente se refiere a los resultados encontrados en pruebas de que examinan el caudal léxico, por el interés de sus relaciones con la interacción textual. En razón de ello en la elaboración de esta comunicación se ha tenido particularmente en cuenta el modelo de comprensión lectora proporcionado por Kintsch y Rawson (2005) sobre los diferentes niveles de procesamiento cuando se lee. Los autores d...

  20. Hypertext in Secondary School in Chile: ¿It is pertinent apply traditional textual approaches?

    OpenAIRE

    Ayala Pérez, Teresa

    2012-01-01

    Los textos digitales constituyen parte importante de la comunicación en la sociedad de la información y recientemente han sido incluidos en los programas de Lenguaje y Comunicación de E.M. en Chile. Ante esta situación, cabe preguntarse si los tradicionales enfoques textuales, elaborados a partir del texto impreso en los años 70 y 80 y utilizados actualmente en Enseñanza Media, resultan aplicables al hipertexto. En este trabajo se describen algunos rasgos de este tipo de texto y se reflexiona...

  1. Redemptive Family Narratives: Olga Lengyel and the Textuality of the Holocaust*

    Science.gov (United States)

    Turda, Marius

    2016-01-01

    Memoirs written by Holocaust survivors and (in some cases) their testimonies retain a salience unmatched by other historical sources. This article discusses one such memoir, Olga Lengyel’s Five Chimneys, alongside her 1998 testimony, aiming to engage with broader methodological issues relating to the history of the Holocaust, particularly those about memory, narrative and textuality. Through a detailed discussion of certain moments shaping Olga Lengyel’s personal experience, both pre-and post-arrival in Auschwitz, the article captures the tensions and contradictions characterizing the harrowing story of one woman’s loss of family in the Holocaust. PMID:27959969

  2. What Good’s a Text? Textuality, Orality, and Mathematical Astronomy in Early Imperial China

    OpenAIRE

    Morgan, Daniel Patrick

    2014-01-01

    Article submitted to Archives internationales d'histoire des sciences; International audience; This paper examines a 226 ce debate on li 曆 mathematical astronomy at the Cao-Wei (226–265) court as a case study in the role of orality and person-to-person exchange in the transmission of astronomical knowledge in early imperial China. The li- and mathematics-related manuscripts to have come down to us from the early imperial period often suffer from textual corruption, the form that this corrupti...

  3. Integrating critical thinking and evidence-based dentistry across a four-year dental curriculum: a model for independent learning.

    Science.gov (United States)

    Marshall, Teresa A; Straub-Morarend, Cheryl L; Handoo, Nidhi; Solow, Catherine M; Cunningham-Ford, Marsha A; Finkelstein, Michael W

    2014-03-01

    Introducing critical thinking and evidence-based dentistry (EBD) content into an established dental curriculum can be a difficult and challenging process. Over the past three years, the University of Iowa College of Dentistry has developed and implemented a progressive four-year integrated critical thinking and EBD curriculum. The objective of this article is to describe the development and implementation process to make it available as a model for other dental schools contemplating introduction of critical thinking and EBD into their curricula. The newly designed curriculum built upon an existing problem-based learning foundation, which introduces critical thinking and the scientific literature in the D1 year, in order to expose students to the rationale and resources for practicing EBD in the D2 and D3 years and provide opportunities to practice critical thinking and apply the EBD five-step process in the D2, D3, and D4 years. All curricular content is online, and D3 and D4 EBD activities are integrated within existing clinical responsibilities. The curricular content, student resources, and student activities are described.

  4. A multidisciplinary weight of evidence approach for environmental risk assessment at the Costa Concordia wreck: Integrative indices from Mussel Watch.

    Science.gov (United States)

    Regoli, Francesco; Pellegrini, David; Cicero, Anna Maria; Nigro, Marco; Benedetti, Maura; Gorbi, Stefania; Fattorini, Daniele; D'Errico, Giuseppe; Di Carlo, Marta; Nardi, Alessandro; Gaion, Andrea; Scuderi, Alice; Giuliani, Silvia; Romanelli, Giulia; Berto, Daniela; Trabucco, Benedetta; Guidi, Patrizia; Bernardeschi, Margherita; Scarcelli, Vittoria; Frenzilli, Giada

    2014-05-01

    A complex framework of chemical, biological and oceanographic activities was immediately activated after the Costa Concordia shipwreck, to assess possible contamination events and the environmental impact during both emergency and wreck removal operations. In the present paper, we describe the results obtained with caged mussels, Mytilus galloprovincialis, chosen as bioindicator organisms to detect variations of bioavailability and the early onset of molecular and cellular effects (biomarkers). Seven translocation experiments were carried out during the first year from the incident, with organisms deployed at 2 depths in 3 different sites. After 4-6 weeks, tissue concentrations were measured for the main classes of potentially released chemicals (trace metals, polycyclic aromatic hydrocarbons, volatile and aliphatic hydrocarbons, polychlorinated biphenyls, halogenated pesticides, organotin compounds, brominated flame retardants, anionic surfactants); a wide battery of biomarkers covered responses indicative of exposure, detoxification, oxidative stress, cell damage and genotoxic effects. Results excluded serious contamination events or a consistent increase of environmental pollution although some episodic spills with reversible effects were detected. Data were elaborated within a quantitative weight of evidence (WOE) model which provided synthetic hazard indices for each typology of data, before their overall integration in an environmental risk index, which generally ranged from slight to moderate. The proposed WOE model was confirmed a useful tool to summarize large datasets of complex data in integrative indices, and to simplify the interpretation for stakeholders and decision makers, thus supporting a more comprehensive process of "site-oriented" management decisions. Copyright © 2013 Elsevier Ltd. All rights reserved.

  5. Organizational contextual features that influence the implementation of evidence-based practices across healthcare settings: a systematic integrative review.

    Science.gov (United States)

    Li, Shelly-Anne; Jeffs, Lianne; Barwick, Melanie; Stevens, Bonnie

    2018-05-05

    Organizational contextual features have been recognized as important determinants for implementing evidence-based practices across healthcare settings for over a decade. However, implementation scientists have not reached consensus on which features are most important for implementing evidence-based practices. The aims of this review were to identify the most commonly reported organizational contextual features that influence the implementation of evidence-based practices across healthcare settings, and to describe how these features affect implementation. An integrative review was undertaken following literature searches in CINAHL, MEDLINE, PsycINFO, EMBASE, Web of Science, and Cochrane databases from January 2005 to June 2017. English language, peer-reviewed empirical studies exploring organizational context in at least one implementation initiative within a healthcare setting were included. Quality appraisal of the included studies was performed using the Mixed Methods Appraisal Tool. Inductive content analysis informed data extraction and reduction. The search generated 5152 citations. After removing duplicates and applying eligibility criteria, 36 journal articles were included. The majority (n = 20) of the study designs were qualitative, 11 were quantitative, and 5 used a mixed methods approach. Six main organizational contextual features (organizational culture; leadership; networks and communication; resources; evaluation, monitoring and feedback; and champions) were most commonly reported to influence implementation outcomes in the selected studies across a wide range of healthcare settings. We identified six organizational contextual features that appear to be interrelated and work synergistically to influence the implementation of evidence-based practices within an organization. Organizational contextual features did not influence implementation efforts independently from other features. Rather, features were interrelated and often influenced each

  6. An integrated mechanism of pediatric pseudotumor cerebri syndrome: evidence of bioenergetic and hormonal regulation of cerebrospinal fluid dynamics.

    Science.gov (United States)

    Sheldon, Claire A; Kwon, Young Joon; Liu, Grant T; McCormack, Shana E

    2015-02-01

    Pseudotumor cerebri syndrome (PTCS) is defined by the presence of elevated intracranial pressure (ICP) in the setting of normal brain parenchyma and cerebrospinal fluid (CSF). Headache, vision changes, and papilledema are common presenting features. Up to 10% of appropriately treated patients may experience permanent visual loss. The mechanism(s) underlying PTCS is unknown. PTCS occurs in association with a variety of conditions, including kidney disease, obesity, and adrenal insufficiency, suggesting endocrine and/or metabolic derangements may occur. Recent studies suggest that fluid and electrolyte balance in renal epithelia is regulated by a complex interaction of metabolic and hormonal factors; these cells share many of the same features as the choroid plexus cells in the central nervous system (CNS) responsible for regulation of CSF dynamics. Thus, we posit that similar factors may influence CSF dynamics in both types of fluid-sensitive tissues. Specifically, we hypothesize that, in patients with PTCS, mitochondrial metabolites (glutamate, succinate) and steroid hormones (cortisol, aldosterone) regulate CSF production and/or absorption. In this integrated mechanism review, we consider the clinical and molecular evidence for each metabolite and hormone in turn. We illustrate how related intracellular signaling cascades may converge in the choroid plexus, drawing on evidence from functionally similar tissues.

  7. Undergraduate physiotherapy students' competencies, attitudes and perceptions after integrated educational pathways in evidence-based practice: a mixed methods study.

    Science.gov (United States)

    Bozzolan, M; Simoni, G; Balboni, M; Fiorini, F; Bombardi, S; Bertin, N; Da Roit, M

    2014-11-01

    This mixed methods study aimed to explore perceptions/attitudes, to evaluate knowledge/ skills, to investigate clinical behaviours of undergraduate physiotherapy students exposed to a composite education curriculum on evidence-based practice (EBP). Students' knowledge and skills were assessed before and after integrated learning activities, using the Adapted Fresno test, whereas their behaviour in EBP was evaluated by examining their internship documentation. Students' perceptions and attitudes were explored through four focus groups. Sixty-two students agreed to participate in the study. The within group mean differences (A-Fresno test) were 34.2 (95% CI 24.4 to 43.9) in the first year and 35.1 (95% CI 23.2 to 47.1) in the second year; no statistically significant change was observed in the third year. Seventy-six percent of the second year and 88% of the third year students reached the pass score. Internship documentation gave evidence of PICOs and database searches (95-100%), critical appraisal of internal validity (25-75%) but not of external validity (5-15%). The correct application of these items ranged from 30 to 100%. Qualitative analysis of the focus groups indicated students valued EBP, but perceived many barriers, with clinicians being both an obstacle and a model. Key elements for changing students' behaviours seem to be internship environment and possibility of continuous practice and feedback.

  8. Introduction to the History and Current Status of Evidence-Based Korean Medicine: A Unique Integrated System of Allopathic and Holistic Medicine

    Directory of Open Access Journals (Sweden)

    Chang Shik Yin

    2014-01-01

    Full Text Available Objectives. Korean medicine, an integrated allopathic and traditional medicine, has developed unique characteristics and has been active in contributing to evidence-based medicine. Recent developments in Korean medicine have not been as well disseminated as traditional Chinese medicine. This introduction to recent developments in Korean medicine will draw attention to, and facilitate, the advancement of evidence-based complementary alternative medicine (CAM. Methods and Results. The history of and recent developments in Korean medicine as evidence-based medicine are explored through discussions on the development of a national standard classification of diseases and study reports, ranging from basic research to newly developed clinical therapies. A national standard classification of diseases has been developed and revised serially into an integrated classification of Western allopathic and traditional holistic medicine disease entities. Standard disease classifications offer a starting point for the reliable gathering of evidence and provide a representative example of the unique status of evidence-based Korean medicine as an integration of Western allopathic medicine and traditional holistic medicine. Conclusions. Recent developments in evidence-based Korean medicine show a unique development in evidence-based medicine, adopting both Western allopathic and holistic traditional medicine. It is expected that Korean medicine will continue to be an important contributor to evidence-based medicine, encompassing conventional and complementary approaches.

  9. Introduction to the history and current status of evidence-based korean medicine: a unique integrated system of allopathic and holistic medicine.

    Science.gov (United States)

    Yin, Chang Shik; Ko, Seong-Gyu

    2014-01-01

    Objectives. Korean medicine, an integrated allopathic and traditional medicine, has developed unique characteristics and has been active in contributing to evidence-based medicine. Recent developments in Korean medicine have not been as well disseminated as traditional Chinese medicine. This introduction to recent developments in Korean medicine will draw attention to, and facilitate, the advancement of evidence-based complementary alternative medicine (CAM). Methods and Results. The history of and recent developments in Korean medicine as evidence-based medicine are explored through discussions on the development of a national standard classification of diseases and study reports, ranging from basic research to newly developed clinical therapies. A national standard classification of diseases has been developed and revised serially into an integrated classification of Western allopathic and traditional holistic medicine disease entities. Standard disease classifications offer a starting point for the reliable gathering of evidence and provide a representative example of the unique status of evidence-based Korean medicine as an integration of Western allopathic medicine and traditional holistic medicine. Conclusions. Recent developments in evidence-based Korean medicine show a unique development in evidence-based medicine, adopting both Western allopathic and holistic traditional medicine. It is expected that Korean medicine will continue to be an important contributor to evidence-based medicine, encompassing conventional and complementary approaches.

  10. The effectiveness of a clinically integrated e-learning course in evidence-based medicine: A cluster randomised controlled trial

    Directory of Open Access Journals (Sweden)

    Arvanitis Theodoros N

    2009-05-01

    Full Text Available Abstract Background To evaluate the educational effects of a clinically integrated e-learning course for teaching basic evidence-based medicine (EBM among postgraduates compared to a traditional lecture-based course of equivalent content. Methods We conducted a cluster randomised controlled trial in the Netherlands and the UK involving postgraduate trainees in six obstetrics and gynaecology departments. Outcomes (knowledge gain and change in attitude towards EBM were compared between the clinically integrated e-learning course (intervention and the traditional lecture based course (control. We measured change from pre- to post-intervention scores using a validated questionnaire assessing knowledge (primary outcome and attitudes (secondary outcome. Results There were six clusters involving teaching of 61 postgraduate trainees (28 in the intervention and 33 in the control group. The intervention group achieved slightly higher scores for knowledge gain compared to the control, but these results were not statistically significant (difference in knowledge gain: 3.5 points, 95% CI -2.7 to 9.8, p = 0.27. The attitudinal changes were similar for both groups. Conclusion A clinically integrated e-learning course was at least as effective as a traditional lecture based course and was well accepted. Being less costly than traditional teaching and allowing for more independent learning through materials that can be easily updated, there is a place for incorporating e-learning into postgraduate EBM curricula that offer on-the-job training for just-in-time learning. Trial registration Trial registration number: ACTRN12609000022268.

  11. Information literacy as the foundation for evidence-based practice in graduate nursing education: a curriculum-integrated approach.

    Science.gov (United States)

    Jacobs, Susan Kaplan; Rosenfeld, Peri; Haber, Judith

    2003-01-01

    As part of a system-wide initiative to advance evidence-based practice among clinicians, graduate students, and educators, the New York University Division of Nursing embarked on a curricular initiative to integrate components of information literacy in all core courses of the master's program. Increasing competency in information literacy is the foundation for evidence-based practice and provides nursing professionals with the skills to be literate consumers of information in an electronic environment. Competency in information literacy includes an understanding of the architecture of information and the scholarly process; the ability to navigate among a variety of print and electronic tools to effectively access, search, and critically evaluate appropriate resources; synthesize accumulated information into an existing body of knowledge; communicate research results clearly and effectively; and appreciate the social issues and ethical concerns related to the provision, dissemination, and sharing of information. In collaboration with the New York University Division of Libraries' Health Sciences Librarian, instructional modules in information literacy relevant to each of the 5 core nursing master's courses were developed, complemented by a Web-based tutorial: http://library.nyu.edu/research/health/tutorial. The Web site is multifaceted, with fundamentals for the beginner, as well as more complex content for the advanced user. Course assignments were designed to promote specific competencies in information literacy and strategies for evaluating the strength of the evidence found. A survey of information literacy competencies, which assessed students' knowledge, misconceptions, and use of electronic information resources, was administered when students entered the program and at 1-year intervals thereafter.

  12. Investigating Differential Learning Outcomes of Students in Physics Using Animation and Textual Information Teaching Strategies in Ondo State Secondary School

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    Blessing Eguabor

    2017-06-01

    Full Text Available BackgroundThe study investigated the main effects of animation information and textual information on students'performance and improving students' attitude towards physics.Material and methodsThe study adopted the pre-test post-test control group design. The population was made up of SSS 2 students inOndo State. Three Local Government Areas were randomly selected from the 18 Local Government Areas ofOndo State. Simple random technique was used to select three schools in the selected Local Government Areas.The schools were randomly assigned to two experimental groups namely animation and, textual informationstrategy and one control group. Two instruments were used for the study.ResultsOne-way Analysis of Variance (ANOVA, Scheffe Post-Hoc pair-wise comparison Analysis, and two-way Analysisof Variance was used. The results showed that there was a significant main effect of animation and textual strategieson students performance in physics. The results also showed that there was a significant difference in the post testattitudinal score of students' exposed to the strategies with the effectiveness in the order of animation, textual, andconventional strategiesConclusionsThe study concluded that computer- based instruction such as animation and textual strategies could enhancelearning outcomes in Physics in senior secondary school irrespective of students' sex.

  13. El concepto de ficcionalidad: Teoría y representaciones textuales

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    Álamo Felices, Francisco

    2014-06-01

    Full Text Available This article is an updated tour —scientific, terminological and bibliographical— of the concept of fictionality and its fundamental textual representations. The structure of this article is drawn from a prior state of the issue and moves on to a theoretical exposition of these fictional forms, to which a sampler of narrative examples applied to each of the analyzed narratives is added. All of this is complemented by recent contributions made within the field of fictionality by both literary critics and the novelists themselves.Este trabajo es un recorrido actualizado —científico, terminológico y bibliográfico— acerca del concepto de ficcionalidad y sus representaciones textuales fundamentales. La estructura del artículo se traza desde un estado previo de la cuestión para continuar con una exposición teórica de dichas modalidades ficcionales a lo que se añade un muestrario de ejemplos narrativos aplicados a cada caso analizado. Todo lo anterior se complementa con las últimas aportaciones que, en el campo de la ficcionalidad, han realizado tanto la crítica literaria como los propios novelistas.

  14. A Didatic Reflection on Distribution of Textual Genres to the Primary School

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    João Bosco Figueiredo-Gomes

    2015-12-01

    Full Text Available Considering the interest on the studies about textual genre and its teaching in the three last decades, the present article presents a report of an analysis of collection of didactic books of Portuguese language of the Primary School II, which aimed at verifying if the didactic book enables a comprehension about different textual genres as for the student, in relation to the context and social use, as well as for the teacher, in relation to parameters in order to do an analysis and choice of didactic collection books. The theoretical methodological framework based mainly in the contributions of Interactionism Socio-discursive: Bronckart (1999, 2003 and Schneuwly and Dolz (2004; in the studies by Marcuschi (2002, 2008 and in the orientations about the teaching of mother language contained in the National Curriculum Guidelines – PCN (BRASIL, 1998. The results provided a reflection that offers param-eters to the analysis, choice and organization of didactic collections, as well as suggestions of pedagogic implementation towards the teaching of Portuguese language.

  15. Considering axiological integrity: a methodological analysis of qualitative evidence syntheses, and its implications for health professions education.

    Science.gov (United States)

    Kelly, Martina; Ellaway, Rachel H; Reid, Helen; Ganshorn, Heather; Yardley, Sarah; Bennett, Deirdre; Dornan, Tim

    2018-05-14

    Qualitative evidence synthesis (QES) is a suite of methodologies that combine qualitative techniques with the synthesis of qualitative knowledge. They are particularly suited to medical education as these approaches pool findings from original qualitative studies, whilst paying attention to context and theoretical development. Although increasingly sophisticated use is being made of qualitative primary research methodologies in health professions education (HPE) the use of secondary qualitative reviews in HPE remains underdeveloped. This study examined QES methods applied to clinical humanism in healthcare as a way of advancing thinking around the use of QES in HPE in general. A systematic search strategy identified 49 reviews that fulfilled the inclusion criteria. Meta-study was used to develop an analytic summary of methodological characteristics, the role of theory, and the synthetic processes used in QES reviews. Fifteen reviews used a defined methodology, and 17 clearly explained the processes that led from data extraction to synthesis. Eight reviews adopted a specific theoretical perspective. Authors rarely described their reflexive relationship with their data. Epistemological positions tended to be implied rather than explicit. Twenty-five reviews included some form of quality appraisal, although it was often unclear how authors acted on its results. Reviewers under-reported qualitative approaches in their review methodologies, and tended to focus on elements such as systematicity and checklist quality appraisal that were more germane to quantitative evidence synthesis. A core concern was that the axiological (value) dimensions of the source materials were rarely considered let alone accommodated in the synthesis techniques used. QES can be used in HPE research but only with careful attention to maintaining axiological integrity.

  16. Principles of Textual Communication. On the Basis of Polish Press Reports after President Obama’s 2009 Inauguration

    Directory of Open Access Journals (Sweden)

    Piotr P. Chruszczewski

    2009-11-01

    Full Text Available On the basis of the assumption that any discourse is a highly context-dependent, and dynamically changing phenomenon of textual nature, and with reference to the fact that there may be used in linguistic research certain standards of textuality, the paper shows that the standards can be grouped into, e.g., three general sections (text-oriented, sender-oriented and context-oriented which can be used as a starting point for further research in the study of textlinguistics and journalistic discourse.

  17. AIMD - a validated, simplified framework of interventions to promote and integrate evidence into health practices, systems, and policies

    Directory of Open Access Journals (Sweden)

    Peter Bragge

    2017-03-01

    Full Text Available Abstract Background Proliferation of terms describing the science of effectively promoting and supporting the use of research evidence in healthcare policy and practice has hampered understanding and development of the field. To address this, an international Terminology Working Group developed and published a simplified framework of interventions to promote and integrate evidence into health practices, systems, and policies. This paper presents results of validation work and a second international workgroup meeting, culminating in the updated AIMD framework [Aims, Ingredients, Mechanism, Delivery]. Methods Framework validity was evaluated against terminology schemas (n = 51; primary studies (n = 37; and reporting guidelines (n = 10. Framework components were independently categorized as fully represented, partly represented, or absent by two researchers. Opportunities to refine the framework were systematically recorded. A meeting of the expanded international Terminology Working Group updated the framework by reviewing and deliberating upon validation findings and refinement proposals. Results There was variation in representativeness of the components across the three types of literature, in particular for the component ‘causal mechanisms’. Analysis of primary studies revealed that representativeness of this concept lowered from 92 to 68% if only explicit, rather than explicit and non-explicit references to causal mechanisms were included. All components were very well represented in reporting guidelines, however the level of description of these was lower than in other types of literature. Twelve opportunities were identified to improve the framework, 9 of which were operationalized at the meeting. The updated AIMD framework comprises four components: (1 Aims: what do you want your intervention to achieve and for whom? (2 Ingredients: what comprises the intervention? (3 Mechanisms: how do you propose the intervention will

  18. White matter integrity in brain networks relevant to anxiety and depression: evidence from the human connectome project dataset.

    Science.gov (United States)

    De Witte, Nele A J; Mueller, Sven C

    2017-12-01

    Anxiety and depression are associated with altered communication within global brain networks and between these networks and the amygdala. Functional connectivity studies demonstrate an effect of anxiety and depression on four critical brain networks involved in top-down attentional control (fronto-parietal network; FPN), salience detection and error monitoring (cingulo-opercular network; CON), bottom-up stimulus-driven attention (ventral attention network; VAN), and default mode (default mode network; DMN). However, structural evidence on the white matter (WM) connections within these networks and between these networks and the amygdala is lacking. The current study in a large healthy sample (n = 483) observed that higher trait anxiety-depression predicted lower WM integrity in the connections between amygdala and specific regions of the FPN, CON, VAN, and DMN. We discuss the possible consequences of these anatomical alterations for cognitive-affective functioning and underscore the need for further theory-driven research on individual differences in anxiety and depression on brain structure.

  19. Attitudes and emotions through written text: the case of textual deformation in internet chat rooms.

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    Francisco Yus Ramos

    2010-11-01

    Full Text Available Normal 0 21 false false false ES X-NONE X-NONE MicrosoftInternetExplorer4 /* Style Definitions */ table.MsoNormalTable {mso-style-name:"Tabla normal"; mso-tstyle-rowband-size:0; mso-tstyle-colband-size:0; mso-style-noshow:yes; mso-style-priority:99; mso-style-qformat:yes; mso-style-parent:""; mso-padding-alt:0cm 5.4pt 0cm 5.4pt; mso-para-margin-top:0cm; mso-para-margin-right:0cm; mso-para-margin-bottom:10.0pt; mso-para-margin-left:0cm; line-height:115%; mso-pagination:widow-orphan; font-size:11.0pt; font-family:"Calibri","sans-serif"; mso-ascii-font-family:Calibri; mso-ascii-theme-font:minor-latin; mso-fareast-font-family:"Times New Roman"; mso-fareast-theme-font:minor-fareast; mso-hansi-font-family:Calibri; mso-hansi-theme-font:minor-latin; mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;} Los chats españoles de Internet son visitados por muchos jóvenes que usan el lenguaje de una forma muy creativa (ej. repetición de letras y signos de puntuación. En este artículo se evalúan varias hipótesis sobre el uso de la deformación textual respecto a su eficacia comunicativa. Se trata de comprobar si estas deformaciones favorecen una identificación y evaluación más adecuada de las actitudes (proposicionales o afectivas y emociones de sus autores. Las respuestas a un cuestionario revelan que a pesar de la información adicional que la deformación textual aporta, los lectores no suelen coincidir en la cualidad exacta de estas actitudes y emociones, ni establecen grados de intensidad relacionados con la cantidad de texto tecleada. Sin embargo, y a pesar de estos resultados, la deformación textual parece jugar un papel en la interpretación que finalmente se elige de estos mensajes enviados a los chats.

  20. Functional Analytic Psychotherapy Is a Framework for Implementing Evidence-Based Practices: The Example of Integrated Smoking Cessation and Depression Treatment

    Science.gov (United States)

    Holman, Gareth; Kohlenberg, Robert J.; Tsai, Mavis; Haworth, Kevin; Jacobson, Emily; Liu, Sarah

    2012-01-01

    Depression and cigarette smoking are recurrent, interacting problems that co-occur at high rates and--especially when depression is chronic--are difficult to treat and associated with costly health consequences. In this paper we present an integrative therapeutic framework for concurrent treatment of these problems based on evidence-based…

  1. Telling the Holy Sepulchre. “Mises en scène” and textual representations

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    Hans-Joachim Schmidt

    2016-06-01

    Full Text Available During the Middle Ages, places and holy objects were concrete in their materiality and especially in their geographical location. However they could also proliferate in other places, in a real “multiplication of presence”. Indeed, texts and maps informed the reader and the spectator, but also put him in touch with the sphere of the holiness. The idea of the omnipresence of the salvation facilitated a relocation of the poles of worship, which was nevertheless based on material contacts. This contrast between dematerialization and attachment to things maintained a play of opposites between absence and presence. The material or textual reproduction of objects and holy places made sure they became accessible for all those who would not or could not travel to them. This contribution offers an analysis of maps and various stories of medieval authors which make a symbolic approach to the holy places in Jerusalem accessible to many believers.

  2. Multimedia and Textual Reading Comprehension: Multimedia as Personal Learning Environment’s Enriching Format

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    Jose Daniel García Martínez

    2017-01-01

    Full Text Available In this article we will discuss part of a piece of research that was conducted with two 4ESO groups. Textual learning is opposed to multimedia learning within the context of PLE’s (Personal Learning Environment reading tools and strategies. In the research an analysis was made of whether it would be possible to improve the reading process through multimedia over a school term in two different aspects; one evolutionary with six classroom exercises and one evaluation with a final exercise. Concretely, this article states the number of question mistakes that the students made. The data indicates that there is a better evolution in students that performed the multimedia dynamic, although there are not any relevant differences in the final evaluation.

  3. Contributions of the textual analysis of speeches for the teaching in the virtual enviroments

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    Sueli Cristina Marquesi

    2013-12-01

    Full Text Available The present paper aims at discussing theoretical aspects of Textual Analysis of Speeches which guide an autonomous learning methodology for university students. Having as a theoretical ground, mainly, the studies developed by Adam (2008, a thematic unit of theoretical content in the area of Exact Sciences will be discussed. Within this unit, explicative and descriptive sequences are constructed in such a way to promote the interaction between the text, presented in a virtual environment, and the student. Consequently, the new content of learning is facilitated. For doing so, activities – presented totally at distance - prepared for engineering students of a Brazilian university will be brought to discussion. The methodology establishes a dialogue between an issue that is central in dealing with learning in virtual environments – the interaction through language – and the role the student has to assume in these environments: a reader/ author who makes meaning and transfers knowledge.

  4. Write like a visual artist: Tracing the textually mediated art world

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    Janna Klostermann

    2016-12-01

    Full Text Available This study examines the social organisation of Canada’s art world from the standpoint of practising visual artists. Bringing together theories of literacy and institutional ethnography, the article investigates the literacy practices of visual artists, making visible how artists use written texts to participate in public galleries and in the social and institutional relations of the art world. Drawing on extended ethnographic research, including interviews, observational field notes and textual analyses, this study sheds light on the ways visual artists enact particular texts, enact organisational processes, and to enact the social and conceptual worlds they are a part of. Through the lens of visual artists, this study locates two particular texts – the artist statement and the bio statement – in the extended social and institutional relations of the art world.

  5. Intertextualidade e produção textual: análise das narrativas do CELLIJ

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    Edna Mara da Silva de Souza

    2013-12-01

    Full Text Available The textual construction already stated Bakhtin (2006 is permeated with intertextuality, ie a text takes from other texts, from this perspective, this study examines the intertextuality and the representation of narrative structure presented by students who participated in the workshops creative production of texts after storytime at the Centre for Studies in Reading and Children's and Youth Literature Betty Maria Coelho Silva (CELLIJ at UNESP campus of Presidente Prudente - SP. This paper presents a reflection on the importance of offering new narratives, whether through storytelling or reading literary texts, to build the child repertoire. From the reading of the corpus nine selected texts, we observed a strong influence of the heroes of commercial films and television series in child production, as well as a tendency writing conditional structure of fairy tales.

  6. 'Integration'

    DEFF Research Database (Denmark)

    Olwig, Karen Fog

    2011-01-01

    , while the countries have adopted disparate policies and ideologies, differences in the actual treatment and attitudes towards immigrants and refugees in everyday life are less clear, due to parallel integration programmes based on strong similarities in the welfare systems and in cultural notions...... of equality in the three societies. Finally, it shows that family relations play a central role in immigrants’ and refugees’ establishment of a new life in the receiving societies, even though the welfare society takes on many of the social and economic functions of the family....

  7. Harm reduction in U.S. tobacco control: Constructions in textual news media.

    Science.gov (United States)

    Eversman, Michael H

    2015-06-01

    U.S. tobacco control has long emphasized abstinence, yet quitting smoking is hard and cessation rates low. Tobacco harm reduction alternatives espouse substituting cigarettes with safer nicotine and tobacco products. Policy shifts embracing tobacco harm reduction have increased media attention, yet it remains controversial. Discourse theory posits language as fluid, and socially constructed meaning as neither absolute nor neutral, elevating certain views over others while depicting "discursive struggle" between them. While an abstinence-based framework dominates tobacco policy, discourse theory suggests constructions of nicotine and tobacco use can change, for example by positioning tobacco harm reduction more favorably. Textual discourse analysis was used to explore constructions of tobacco harm reduction in 478 (308 original) U.S. textual news media articles spanning 1996-2014. Using keyword database sampling, retrieved articles were analyzed first as discrete recording units and then to identify emergent thematic content. Constructions of tobacco harm reduction shifted over this time, revealing tension among industry and policy interests through competing definitions of tobacco harm reduction, depictions of its underlying science, and accounts of regulatory matters including tobacco industry support for harm reduction and desired marketing and taxation legislation. Heightened salience surrounding tobacco harm reduction and electronic cigarettes suggests their greater acceptance in U.S. tobacco control. Various media depictions construct harm reduction as a temporary means to cessation, and conflict with other constructions of it that place no subjective value on continued "safer" tobacco/nicotine use. Constructions of science largely obscure claims of the veracity of tobacco harm reduction, with conflict surrounding appropriate public health benchmarks for tobacco policy and health risks of nicotine use. Taxation policies and e-cigarette pricing relative to

  8. Textual Self-branding: the Rhetorical Ethos in Mallarmé’s Divagations

    Directory of Open Access Journals (Sweden)

    Arild Michel Bakken

    2011-11-01

    Full Text Available This article examines, from a rhetorical perspective, the textual presence of the auctorial figure in Mallarmé’s collection of prose writings, Divagations. It challenges the traditional and structuralist idea of Mallarmé as a poet eager to exclude his own persona from his work, and even as the initiator of the “death of the author.” Recent Mallarméan studies have been shifting the field’s attention away from the myth of the ivory tower to focus on the poet’s social project as it appears in the Divagations. Such a project presupposes a rhetorical commitment, and thus an auctorial presence in the text. The question that is raised here is then what role the figure of the poet plays in Mallarmé’s rhetorical strategy. A close rhetorical analysis of the Divagations reveals that the poet constantly, although discreetly, writes his own persona into the text. Throughout the Divagations, Mallarmé deploys much effort to give his persona qualities likely to win the support of his audience. It is argued that this manifest ethos preoccupation has a double function. The rhetorically efficient image of the poet is obviously intended to add authority to his social project. However, the poet’s constant cultivation of his textual figure shows that the ethos has gained a certain autonomy. An important preoccupation for the poet is in fact to brand himself as an author: contrary to the traditional idea of the absent poet, the auctorial figure seems to be one of the primary subjects of the Divagations. The argument thus invites us, in order to avoid overlooking this central aspect of Mallarmé’s project, to take the ethos perspective into account in any approach to Mallarmé’s prose work.

  9. Assessing Online Textual Feedback to Support Student Intrinsic Motivation Using a Collaborative Text-Based Dialogue System: A Qualitative Study

    Science.gov (United States)

    Shroff, Ronnie H.; Deneen, Christopher

    2011-01-01

    This paper assesses textual feedback to support student intrinsic motivation using a collaborative text-based dialogue system. A research model is presented based on research into intrinsic motivation, and the specific construct of feedback provides a framework for the model. A qualitative research methodology is used to validate the model.…

  10. Translation Competence and Translation Performance: Lexical, Syntactic and Textual Patterns in Student Translations of a Specialized EU Genre

    Science.gov (United States)

    Karoly, Adrienn

    2012-01-01

    This paper reports the findings of a study aiming to reveal the recurring patterns of lexical, syntactic and textual errors in student translations of a specialized EU genre from English into Hungarian. By comparing the student translations to the official translation of the text, this article uncovers the most frequent errors that students made…

  11. Texture, Textuality and Political Discourse: A Study of Lexical Cohesion in Nigeria's President Goodluck Jonathan's Inaugural Address, May, 2011

    Science.gov (United States)

    Enyi, Amaechi Uneke; Chitulu, Mark Ononiwu

    2015-01-01

    This study, entitled, "Texture and textuality in Political Discourse: A Study of Cohesive Devices in President Goodluck Jonathan's Inaugural Address-May, 2011" was an analysis of the lexical cohesive devices employed by Nigeria's President Goodluck Jonathan in crafting his May, 2011's Presidential Inaugural Address (PIA). Guided by the…

  12. How strong is your coffee? : The influence of visual metaphors and textual claims on consumers' flavor perception and product evaluation

    NARCIS (Netherlands)

    Fenko, Anna; de Vries, Roxan; van Rompay, Thomas

    2018-01-01

    This study investigates the relative impact of textual claims and visual metaphors displayed on the product's package on consumers' flavor experience and product evaluation. For consumers, strength is one of the most important sensory attributes of coffee. The 2 × 3 between-subjects experiment (N =

  13. Journeys toward Textual Relevance: Male Readers of Color and the Significance of Malcolm X and Harry Potter

    Science.gov (United States)

    Sciurba, Katie

    2017-01-01

    This article combines interview data from a group of boys of color at an urban single-sex school and content analysis of "The Autobiography of Malcolm X" and "Harry Potter and the Sorcerer's Stone" to demonstrate the complexities of readers' responses to literature. Textual relevance, or the ability to construct personal…

  14. A Cross Cultural Analysis of Textual and Interpersonal Metadiscourse Markers: The Case of Economic Articles in English and Persian Newspapers

    Science.gov (United States)

    Boshrabadi, Abbas Mehrabi; Biria, Reza; Zavari, Zahra

    2014-01-01

    This study was an attempt to investigate the functional role of textual and interpersonal metadiscourse markers in English and Persian Economic news reports. To this end, 10 news articles, 5 in each language, were randomly selected from the Economic sections of the leading newspapers published in 2013-2014 in Iran and the United States. Based on…

  15. The Generator of the Event Structure Lexicon (GESL): Automatic Annotation of Event Structure for Textual Inference Tasks

    Science.gov (United States)

    Im, Seohyun

    2013-01-01

    This dissertation aims to develop the Generator of the Event Structure Lexicon (GESL) which is a tool to automate annotating the event structure of verbs in text to support textual inference tasks related to lexically entailed subevents. The output of the GESL is the Event Structure Lexicon (ESL), which is a lexicon of verbs in text which includes…

  16. The Impact of Textual Input Enhancement and Explicit Rule Presentation on Iranian Elementary EFL Learners' Intake of Simple Past Tense

    Science.gov (United States)

    Nahavandi, Naemeh; Mukundan, Jayakaran

    2013-01-01

    The present study investigated the impact of textual input enhancement and explicit rule presentation on 93 Iranian EFL learners' intake of simple past tense. Three intact general English classes in Tabriz Azad University were randomly assigned to: 1) a control group; 2) a TIE group; and 3) a TIE plus explicit rule presentation group. All…

  17. Textual Enhancement and Simplified Input: Effects on L2 Comprehension and Acquisition of Non-Meaningful Grammatical Form

    Science.gov (United States)

    Wong, Wynne

    2003-01-01

    The study set out to investigate how textual enhancement (TE) as a form of input enhancement and increasing the comprehensibility of input via simplified input (SI) might impact adult L2 French learners' acquisition of the past participle agreement in relative clauses and their comprehension of three texts in which the target forms were embedded.…

  18. Effects of Lexical Features, Textual Properties, and Individual Differences on Word Processing Times during Second Language Reading Comprehension

    Science.gov (United States)

    Kim, Minkyung; Crossley, Scott A.; Skalicky, Stephen

    2018-01-01

    This study examines whether lexical features and textual properties along with individual differences on the part of readers influence word processing times during second language (L2) reading comprehension. Forty-eight Spanish-speaking adolescent and adult learners of English read nine English passages in a self-paced word-by-word reading…

  19. An integrative review and evidence-based conceptual model of the essential components of pre-service education.

    Science.gov (United States)

    Johnson, Peter; Fogarty, Linda; Fullerton, Judith; Bluestone, Julia; Drake, Mary

    2013-08-28

    With decreasing global resources, a pervasive critical shortage of skilled health workers, and a growing disease burden in many countries, the need to maximize the effectiveness and efficiency of pre-service education in low-and middle-income countries has never been greater. We performed an integrative review of the literature to analyse factors contributing to quality pre-service education and created a conceptual model that shows the links between essential elements of quality pre-service education and desired outcomes. The literature contains a rich discussion of factors that contribute to quality pre-service education, including the following: (1) targeted recruitment of qualified students from rural and low-resource settings appears to be a particularly effective strategy for retaining students in vulnerable communities after graduation; (2) evidence supports a competency-based curriculum, but there is no clear evidence supporting specific curricular models such as problem-based learning; (3) the health workforce must be well prepared to address national health priorities; (4) the role of the preceptor and preceptors' skills in clinical teaching, identifying student learning needs, assessing student learning, and prioritizing and time management are particularly important; (5) modern, Internet-enabled medical libraries, skills and simulation laboratories, and computer laboratories to support computer-aided instruction are elements of infrastructure meriting strong consideration; and (6) all students must receive sufficient clinical practice opportunities in high-quality clinical learning environments in order to graduate with the competencies required for effective practice. Few studies make a link between PSE and impact on the health system. Nevertheless, it is logical that the production of a trained and competent staff through high-quality pre-service education and continuing professional development activities is the foundation required to achieve the

  20. ESTUDIO SOBRE LOS ABSTRACTS DE ARTÍCULOS DE INVESTIGACIÓN INFORMÁTICOS: EVIDENCIALIDAD Y MODALIDAD TEXTUAL

    Directory of Open Access Journals (Sweden)

    Ivalla Ortega Barrera

    2010-10-01

    Full Text Available Evidentiality and textual modality are widely debated fi eld categories within the areas of linguistics and textual stylistics. The attitude of the author towards the topic indicates its commitment with the established proposition. In this way, his attitude can have either a rational/evaluative character (objective or an emotional/expressive character (subjective, which thus conveys the tonality of the discourse. The present paper, which forms part of the research project "Evidentiality in a multidisciplinary corpus of research papers in English" of the University of Las Palmas de Gran Canaria, focuses on the genre "abstracts of research papers applied to computer science". In this paper we will analyse two types of characteristic functions: the communicative stamp of the markers which correspond to textual modality, both objective and subjective according to their relationship with the evidential and judgement markers, and the frequency of its use in the genre we are studying.

    La evidencialidad y la modalidad textual son categorías de campo muy debatidas dentro de la lingüística y la estilística textual. La actitud del autor hacia el texto indica el grado de compromiso que éste tiene en relación con su proposición. De este modo, su actitud puede tener carácter racional-valorativo (objetivo o carácter emotivo-expresivo (subjetivo, marcando así la tonalidad del discurso. El presente trabajo,
    enmarcado en el proyecto de investigación "Evidencialidad en un corpus multidisciplinar de artículos científi co-técnicos en lengua inglesa" de la Universidad de Las Palmas de Gran Canaria, se centra en el género "abstracts de artículos de investigación aplicados a la informática", y analiza dos tipos de función característicos: la carga comunicativa de los marcadores correspondientes a la modalidad textual, tanto objetiva como subjetiva en cuanto a su relación con los marcadores evidenciales y de juicio, y su frecuencia de uso

  1. "Keeping on track"-Hospital nurses' struggles with maintaining workflow while seeking to integrate evidence-based practice into their daily work: A grounded theory study.

    Science.gov (United States)

    Renolen, Åste; Høye, Sevald; Hjälmhult, Esther; Danbolt, Lars Johan; Kirkevold, Marit

    2018-01-01

    Evidence-based practice is considered a foundation for the provision of quality care and one way to integrate scientific knowledge into clinical problem-solving. Despite the extensive amount of research that has been conducted to evaluate evidence-based practice implementation and research utilization, these practices have not been sufficiently incorporated into nursing practice. Thus, additional research regarding the challenges clinical nurses face when integrating evidence-based practice into their daily work and the manner in which these challenges are approached is needed. The aim of this study was to generate a theory about the general patterns of behaviour that are discovered when clinical nurses attempt to integrate evidence-based practice into their daily work. We used Glaser's classical grounded theory methodology to generate a substantive theory. The study was conducted in two different medical wards in a large Norwegian hospital. In one ward, nurses and nursing assistants were developing and implementing new evidence-based procedures, and in the other ward, evidence-based huddle boards for risk assessment were being implemented. A total of 54 registered nurses and 9 assistant nurses were observed during their patient care and daily activities. Of these individuals, thirteen registered nurses and five assistant nurses participated in focus groups. These participants were selected through theoretical sampling. Data were collected during 90h of observation and 4 focus groups conducted from 2014 to 2015. Each focus group session included four to five participants and lasted between 55 and 65min. Data collection and analysis were performed concurrently, and the data were analysed using the constant comparative method. "Keeping on track" emerged as an explanatory theory for the processes through which the nurses handled their main concern: the risk of losing the workflow. The following three strategies were used by nurses when attempting to integrate evidence

  2. Historical evidence for a pre-Columbian presence of Datura

    Indian Academy of Sciences (India)

    2007-12-04

    Dec 4, 2007 ... Further, the textual evidence traditionally cited in support of a pre-Columbian Old World presence of Datura species is suggested to be due to the misreading of classical Greek and Arabic sources. As a result, botanists generally accept the opinion that Datura species were transferred into the Old World in ...

  3. Understanding Outdoor Gyms in Public Open Spaces: A Systematic Review and Integrative Synthesis of Qualitative and Quantitative Evidence.

    Science.gov (United States)

    Lee, Janet Lok Chun; Lo, Temmy Lee Ting; Ho, Rainbow Tin Hung

    2018-03-25

    (1) Background: An outdoor gym (OG) is environmental infrastructure built in a public open space to promote structured physical activity. The provision of OGs is increasingly seen as an important strategy to realize public health agendas promoting habitual physical activity. A systematic review was conducted to synthesize characteristics of OG and OG users' experiences and perceptions in different cultural contexts; (2) Methods: Online searches of multidisciplinary databases were conducted in health, sport and recreation, and urban planning disciplines. Characteristics of OGs were synthesized by integrating evidence from quantitative, qualitative, and mix-methods studies. The experiences and perceptions of OG users from both qualitative data and survey responses were synthesized through framework analysis; (3) Results: Nine studies met the inclusion criteria (three quantitative studies, four mixed-methods studies, and two pure qualitative studies). None were excluded on the basis of quality. OGs mainly serve adult and older adult population groups. Their size, design, and instructional support vary across studies. The inclusion of functional types of equipment did not have a unified standard. Regarding experiences and perceptions of OGs, five major themes emerged: "health", "social connectedness", "affordable", "support", and "design and promotion"; (4) Conclusions: The OG characteristics synthesis guides the direction in further studies regarding exploration of design parameters. The qualitative and quantitative synthesis revealed that health was a central theme of users' experiences. OGs are also spaces where community-dwellers can find social connectedness while participating in structured physical activity at no cost. Findings from this review create knowledge support for OG as environmental infrastructure for further research and facilitate the understanding of users' experiences and perceptions of OGs in different cultural contexts.

  4. Understanding Outdoor Gyms in Public Open Spaces: A Systematic Review and Integrative Synthesis of Qualitative and Quantitative Evidence

    Science.gov (United States)

    Lee, Janet Lok Chun; Lo, Temmy Lee Ting

    2018-01-01

    (1) Background: An outdoor gym (OG) is environmental infrastructure built in a public open space to promote structured physical activity. The provision of OGs is increasingly seen as an important strategy to realize public health agendas promoting habitual physical activity. A systematic review was conducted to synthesize characteristics of OG and OG users’ experiences and perceptions in different cultural contexts; (2) Methods: Online searches of multidisciplinary databases were conducted in health, sport and recreation, and urban planning disciplines. Characteristics of OGs were synthesized by integrating evidence from quantitative, qualitative, and mix-methods studies. The experiences and perceptions of OG users from both qualitative data and survey responses were synthesized through framework analysis; (3) Results: Nine studies met the inclusion criteria (three quantitative studies, four mixed-methods studies, and two pure qualitative studies). None were excluded on the basis of quality. OGs mainly serve adult and older adult population groups. Their size, design, and instructional support vary across studies. The inclusion of functional types of equipment did not have a unified standard. Regarding experiences and perceptions of OGs, five major themes emerged: “health”, “social connectedness”, “affordable”, “support”, and “design and promotion”; (4) Conclusions: The OG characteristics synthesis guides the direction in further studies regarding exploration of design parameters. The qualitative and quantitative synthesis revealed that health was a central theme of users’ experiences. OGs are also spaces where community-dwellers can find social connectedness while participating in structured physical activity at no cost. Findings from this review create knowledge support for OG as environmental infrastructure for further research and facilitate the understanding of users’ experiences and perceptions of OGs in different cultural contexts

  5. Impact of estrogenic compounds on DNA integrity in human spermatozoa: Evidence for cross-linking and redox cycling activities

    International Nuclear Information System (INIS)

    Bennetts, L.E.; De Iuliis, G.N.; Nixon, B.; Kime, M.; Zelski, K.; McVicar, C.M.; Lewis, S.E.; Aitken, R.J.

    2008-01-01

    A great deal of circumstantial evidence has linked DNA damage in human spermatozoa with adverse reproductive outcomes including reduced fertility and high rates of miscarriage. Although oxidative stress is thought to make a significant contribution to DNA damage in the male germ line, the factors responsible for creating this stress have not been elucidated. One group of compounds that are thought to be active in this context are the estrogens, either generated as a result of the endogenous metabolism of androgens within the male reproductive tract or gaining access to the latter as a consequence of environmental exposure. In this study, a wide variety of estrogenic compounds were assessed for their direct effects on human spermatozoa in vitro. DNA integrity was assessed using the Comet and TUNEL assays, lesion frequencies were quantified by QPCR using targets within the mitochondrial and nuclear (β-globin) genomes, DNA adducts were characterized by mass spectrometry and redox activity was monitored using dihydroethidium (DHE) as the probe. Of the estrogenic and estrogen analogue compounds evaluated, catechol estrogens, quercetin, diethylstilbestrol and pyrocatechol stimulated intense redox activity while genistein was only active at the highest doses tested. Other estrogens and estrogen analogues, such as 17β-estradiol, nonylphenol, bisphenol A and 2,3-dihydroxynaphthalene were inactive. Estrogen-induced redox activity was associated with a dramatic loss of motility and, in the case of 2-hydroxyestradiol, the induction of significant DNA fragmentation. Mass spectrometry also indicated that catechol estrogens were capable of forming dimers that can cross-link the densely packed DNA strands in sperm chromatin, impairing nuclear decondensation. These results highlight the potential importance of estrogenic compounds in creating oxidative stress and DNA damage in the male germ line and suggest that further exploration of these compounds in the aetiology of male

  6. Evidence-based evolution of an integrated nutrition-focused agriculture approach to address the underlying determinants of stunting.

    Science.gov (United States)

    Haselow, Nancy J; Stormer, Ame; Pries, Alissa

    2016-05-01

    Despite progress in reducing hunger and malnutrition since the 1990s, many still suffer from undernutrition and food insecurity, particularly women and young children, resulting in preterm birth, low birthweight and stunting, among other conditions. Helen Keller International (HKI) has addressed malnutrition and household food insecurity through implementation of an Enhanced Homestead Food Production (EHFP) programme that increases year-round availability and intake of diverse micronutrient-rich foods and promotes optimal nutrition and hygiene practices among poor households. This paper reviews the evolution and impact of HKI's EHFP programme and identifies core components of the model that address the underlying determinants of stunting. To date, evaluations of EHFP have shown impact on food production, consumption by women and children and household food security. Sale of surplus produce has increased household income, and the use of a transformative gender approach has empowered women. EHFP has also realized nutrition improvements in many project sites. Results from a randomized control trial (RCT) in Baitadi district, Nepal showed a significant improvement in a range of practices known to impact child growth, although no impact on stunting. Additional non-RCT evaluations in Kailali district of Nepal, demonstrated a 10.5% reduction in stunting and in the Chittagong Hill Tracts in Bangladesh, revealed an 18% decrease in stunting. Based on evidence, the EHFP has evolved into an integrated package that includes agriculture, nutrition, water/hygiene/sanitation, linkages to health care, women's empowerment, income generation and advocacy. Closing the stunting gap requires long-term exposure to targeted multi-sectoral solutions and rigorous evaluation to optimize impact. © 2016 The Authors. Maternal & Child Nutrition published by John Wiley & Sons Ltd.

  7. Impact of estrogenic compounds on DNA integrity in human spermatozoa: Evidence for cross-linking and redox cycling activities

    Energy Technology Data Exchange (ETDEWEB)

    Bennetts, L.E.; De Iuliis, G.N.; Nixon, B.; Kime, M.; Zelski, K. [ARC Centre of Excellence in Biotechnology and Development and Discipline of Biological Sciences, University of Newcastle, NSW (Australia); McVicar, C.M.; Lewis, S.E. [Obstetrics and Gynaecology, Queen' s University, Belfast (United Kingdom); Aitken, R.J. [ARC Centre of Excellence in Biotechnology and Development and Discipline of Biological Sciences, University of Newcastle, NSW (Australia)], E-mail: jaitken@mail.newcastle.edu.au

    2008-05-10

    A great deal of circumstantial evidence has linked DNA damage in human spermatozoa with adverse reproductive outcomes including reduced fertility and high rates of miscarriage. Although oxidative stress is thought to make a significant contribution to DNA damage in the male germ line, the factors responsible for creating this stress have not been elucidated. One group of compounds that are thought to be active in this context are the estrogens, either generated as a result of the endogenous metabolism of androgens within the male reproductive tract or gaining access to the latter as a consequence of environmental exposure. In this study, a wide variety of estrogenic compounds were assessed for their direct effects on human spermatozoa in vitro. DNA integrity was assessed using the Comet and TUNEL assays, lesion frequencies were quantified by QPCR using targets within the mitochondrial and nuclear ({beta}-globin) genomes, DNA adducts were characterized by mass spectrometry and redox activity was monitored using dihydroethidium (DHE) as the probe. Of the estrogenic and estrogen analogue compounds evaluated, catechol estrogens, quercetin, diethylstilbestrol and pyrocatechol stimulated intense redox activity while genistein was only active at the highest doses tested. Other estrogens and estrogen analogues, such as 17{beta}-estradiol, nonylphenol, bisphenol A and 2,3-dihydroxynaphthalene were inactive. Estrogen-induced redox activity was associated with a dramatic loss of motility and, in the case of 2-hydroxyestradiol, the induction of significant DNA fragmentation. Mass spectrometry also indicated that catechol estrogens were capable of forming dimers that can cross-link the densely packed DNA strands in sperm chromatin, impairing nuclear decondensation. These results highlight the potential importance of estrogenic compounds in creating oxidative stress and DNA damage in the male germ line and suggest that further exploration of these compounds in the aetiology of

  8. Conexões entre produção textual e consciência lingüística

    Directory of Open Access Journals (Sweden)

    Soroka, Jaqueline Golbspan

    1998-01-01

    Full Text Available Este artigo examina a conexão entre consciência lingüística e produção textual, enfatizando os mecanismos coesivos e as etapas subjacentes ao processo de organização textual. Trata-se de uma investigação interdisciplinar a tipo exploratório, baseada nos pressupostos teóricos da psicologia cognitiva, da psicolingüística e da lingüística textual. Com o objetivo de verificar se o desempenho na produção textual - em termos de uso dos mecanismos coesivos - relaciona-se positivamente com o desenvolvimento da consciência lingüística, e se escritores com déficit na escrita redacional poderiam se beneficiar com uma abordagem terapêutica que estimule suas habilidades para refletir sobre a libguagem, foi desenvolvida nesta pesquisa uma etapa de 30 sessões de tratamento psicopedagógico grupal. Três sujeitos pré-adolescentes, de 11 a 14 anos de idade, integram o grupo (um dos sujeitos encontrava-se repetindo a 5ª série e os demais cursavam a 6ª série do 1º grau. Concluímos que a estimulação das habilidades metalingüísticas podem auxiliar os sujeitos com dificuldades escolares e desenvolver proficiência na produção textual, no que diz respeito ao monitoramento do uso dos mecanismos coesivos

  9. Theory- and Evidence- Based Intervention: Practice-Based Evidence--Integrating Positive Psychology into a Clinical Psychological Assessment and Intervention Model and How to Measure Outcome

    Science.gov (United States)

    Nissen, Poul

    2011-01-01

    In this paper, a model for assessment and intervention is presented. This model explains how to perform theory- and evidence- based as well as practice-based assessment and intervention. The assessment model applies a holistic approach to treatment planning, which includes recognition of the influence of community, school, peers, family and the…

  10. Interpretive analysis of the textual codes in the Parrot and Merchant story

    Directory of Open Access Journals (Sweden)

    Zohreh Najafi

    2016-06-01

    Full Text Available Abstract Narratology is a brunch of semiology which considers any kind of narrative, literary or non literary, verbal or visual, story or non story and after this specifies the plot. One of the most important subjects in narratology is the interpretation of textual cods which based on can be understood a lot of hidden meanings. Molavi expresses a lot of mystic points in Mathnavi in narrative form which some of his ideas can be realized in the first study but these ideas aren’t all of subjects which he wants to say and a complex of different meaning is hidden in any narrative which can be revealed by consideration of cods.     In terminology of semiology, code is a special situation in historical process of all of indexes and signs which specified for synchronized analyze. In review of literary texts textual cods are more important. Textual cods are the cods which their ambit is more extended than few special text and links these texts to each other in an interpretational form. Aesthetic cods are a group of textual cods which are used in different arts like: poem, painting, theater, music and so on.       The style of expression of aesthetic cods is the same style of art and literature. In the review of Mathnavi's narratives paying attention to narrative cods and using them can be considered as paralinguistic signs. Narrative cods contain interpretational form which used by authors and commentators of texts. In the story of parrot and merchant the textual cods are as follows:   - Parrot: in this story parrot is a symbolic code which shows all of human soul's features.   - Merchant: in this story merchant act as a cultural code which indicates rich who always are solicitous about their finance and are unaware of spiritual world.    - India: in this story India as a signifier code indicates spiritual world. Hermeneutic cods   Molana uses codes which act as turning point and addressed can understand hidden meanings which haven

  11. Suggestions toward some discourse-analytic approaches to text difficulty: with special reference to ‘T-unit configuration’ in the textual unfolding

    Directory of Open Access Journals (Sweden)

    Kazem Lotfipour-Saedi

    2015-01-01

    Full Text Available This paper represents some suggestions towards discourse-analytic approaches for ESL/EFL education, with the focus on identifying the textual forms which can contribute to the textual difficulty. Textual difficulty / comprehensibility, rather than being purely text-based or reader-dependent, is certainly a matter of interaction between text and reader. The paper will look at some of the textual factors which can be argued to make a text more or less readable for the same reader. The main focus here will be on academic texts. The high cognitive load and low readability of the expository texts in various academic disciplines will be argued to belong to certain textual strategies as well as variations in the configurations of the T-units as the prime scaffolding for the textualization process. Different categories of these variations to be discussed here will be exemplified from a few academic and expository registers. More extensive textual analyses will, of course, be necessary in order to be able to make evidential suggestions for possible correlations between certain types and clusters of T-unit configurations on the one hand, and cognitive load and readability indices on the other, across various academic registers, genres and disciplines.

  12. The integration and evaluation of a social-media facilitated journal club to enhance the student learning experience of evidence-based practice: A case study.

    Science.gov (United States)

    Ferguson, Caleb; DiGiacomo, Michelle; Gholizadeh, Leila; Ferguson, Leila E; Hickman, Louise D

    2017-01-01

    Nurses are required to interpret and apply knowledge so communities will receive care based on best available evidence, as opposed to care that is simply based on tradition or authority. Fostering nursing students' critical appraisal skills will assist in their capacity to engage with, interpret and use best evidence. Journal clubs are frequently used approach to engage learners with research and develop critical appraisal skills. Given new flipped and blended approaches to teaching and learning there is need to rejuvenate how research is utilised and integrated within journal clubs to maximise engagement and translation of evidence. This paper provides a case study of a single site Australian university experience of transitioning a traditional physical journal club, to a social media-facilitated club within a postgraduate health subject to stimulate and facilitate engagement with the chosen manuscripts. This case study is based on our own experiences, supported by literature and includes qualitative comments obtained via student feedback surveys during November 2015. Case study. Social media-facilitated journal clubs offer an efficient way to continue developing critical appraisal skills in nursing students. The integration of a social media-facilitated journal clubs increased student attention, engagement with presented activities and overall student satisfaction within this evidence-based practice subject. Future rigorously-designed, large-scale studies are required to evaluate the impact of online journal clubs on the uptake of evidence-based practice, including those resulting in improved patient outcomes. Copyright © 2016 Elsevier Ltd. All rights reserved.

  13. Planning for the integration of the digital library, clinical decision support, and evidence at the point of care.

    Science.gov (United States)

    Schwartz, Linda Matula; Iobst, Barbara

    2008-01-01

    Integrating knowledge-based resources at the point of care is an important opportunity for hospital library involvement. In the progression of an IAIMS planning grant, the digital library is recognized as pivotal to the success of information domain integration throughout the institution. The planning process, data collection, and evolution of the planning project are discussed.

  14. Performance improvement based on integrated quality management models: What evidence do we have? A systematic literature review

    NARCIS (Netherlands)

    M.M.N. Minkman (Mirella); C.T.B. Ahaus (Kees); R. Huijsman (Robbert)

    2007-01-01

    textabstractPurpose. Health care organizations have to improve their performance for multiple stakeholders and organize integrated care. To facilitate this, various integrated quality management models can be used. This article reviews the literature on the Malcolm Baldrige Quality Award (MBQA)

  15. Performance improvement based on integrated quality management models : What evidence do we have? A systematic literature review

    NARCIS (Netherlands)

    Minkman, Mirella; Ahaus, Kees; Huijsman, Robbert

    Purpose. Health care organizations have to improve their performance for multiple stakeholders and organize integrated care. To facilitate this, various integrated quality management models can be used. This article reviews the literature on the Malcolm Baldrige Quality Award (MBQA) criteria, the

  16. Social Ecology of Asthma: Engaging Stakeholders in Integrating Health Behavior Theories and Practice-Based Evidence through Systems Mapping

    Science.gov (United States)

    Gillen, Emily M.; Hassmiller Lich, Kristen; Yeatts, Karin B.; Hernandez, Michelle L.; Smith, Timothy W.; Lewis, Megan A.

    2014-01-01

    This article describes a process for integrating health behavior and social science theories with practice-based insights using participatory systems thinking and diagramming methods largely inspired by system dynamics methods. This integration can help close the gap between research and practice in health education and health behavior by offering…

  17. Text in context: a textual-linguistic approach to Amos 4: 7-8

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    del Barco del Barco, Francisco Javier

    2002-12-01

    Full Text Available This article will study Amos 4:7-8 from a textlinguistic approach: the form of this section will be analyzed within the structure of the chapter in which it is inserted. Such an analysis is needed because the set of verb forms used seems to be different from the rest of verb forms used in the chapter. While the whole chapter tends to be structured as a brief chain of narrative passages with wayyiqtol, the structure of Amos 4:7-8 seems to be a predictive section -developed through weqatal- inserted or pasted in the middle of the chapter. Translations usually do not note the difference between the set of verb forms used. A textlinguistic analysis of Amos 4:7-8 will show that the kind of discourse used here is different from the one used in the rest of the chapter, and, therefore, this difference should be reflected in the translation. The specific function of some discourse types is also discussed.

    En este artículo se presenta un análisis de Amos 4:7-8 a partir de los presupuestos de la lingüística textual. La forma del texto se analizará tomando en cuenta la estructura del capítulo en el que se halla inserto. Este análisis resulta necesario porque el grupo de formas verbales utilizado en la sección propuesta no parece ser el mismo que el del resto del capítulo. Mientras el capítulo en su conjunto es un discurso narrativo estructurado en torno a wayyiqtol, Amos 4:7-8 parece responder al esquema del discurso predictivo desarrollado a partir de weqatal. Un análisis textual se hace necesario porque las traducciones bíblicas no parecen hacerse eco del cambio en el uso de las formas verbales. Además de este análisis, se trata también de la función específica de algunos tipos de discurso.

  18. N. S. LESKOV’S NOTEBOOK WITH EXTRACTS FROM “PROLOGUE” (THE EXPERIENCE OF TEXTUAL COMMENTS

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    Inna N. Mineeva

    2016-03-01

    Full Text Available Thе article, for the fi rst time, provides a detailed textual commentary on N. S. Leskov’s notebook with extracts from “Prologue”. The extant literary materials include extracts and abstracts from the early printed Prologue, fi ction and historical literature of the 19th century, letters of European and Russian scholars and authors (Pushkin A., Tolstoy L., Pigault-Lebrun, Sher I., devoted to  doctrine matters and religious aspects, description and analysis of anthropologic categories. The autograph is the evidence of spiritual search and creative experiments of  the writer. In  the books the  writer found endorsement of both his own ideas, and those ones that require further inner understanding, questioning and emotional upheaval. Meanwhile, studying the history, structure and contents of  Prologue in  the 1880s, Leskov found an  exceptional existential and creative experience. The most part of  the notebook shows the writer’s learning process of various examples of repentance, atonement, a sudden rebirth of a sinner, active love, the benefi ts of obedience, the miracle of movement of a saint in space, the phenomenon of manifestation of  supernatural power and its intervention in  life of  a  man (God, the Holy Spirit, Angels, etc. While working with Prologue texts Leskov enunciated some principles of  their artistic processing  (quoting “crisis”, “turning”, unusual fragments in  the Church Slavonic language, emphasizing key situations by changing the name, specifying the narration, acronyms, graphic intonation. General trends in  understanding of  the  Prologue source (ideological, imaginative, plot-compositional, stylistic, identifi ed in the notebook, are subsequently transformed by the author in a series of “Byzantine Legends” where they receive additional semantic and functional load.

  19. The Integration of Cognitive Remediation Therapy into the Whole Psychosocial Rehabilitation Process: An Evidence-Based and Person-Centered Approach

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    Rafael Penadés

    2012-01-01

    Full Text Available Cognitive remediation therapies seem to ameliorate cognitive impairments in patients with schizophrenia. Interestingly, some improvement in daily functioning can also be expected as a result. However, to achieve these results it is necessary that cognitive remediation is carried out in the context of broader psychosocial rehabilitation involving the learning of other communication, social, and self-control skills. Unfortunately, little is known about how to integrate these different rehabilitation tools in broader rehabilitation programs. Based on both the neurocognitive behavioral approach and the action theory framework, a hierarchical flowchart is represented in this paper to integrate CRT with other evidence-based psychological therapies in outpatient settings. Finally, some evidence is provided in which cognitive abilities need to be targeted in remediation programs to improve functioning. In summary, to improve daily functioning, according to these studies, cognitive remediation needs to include the teaching of some cognitive strategies that target executive skills.

  20. Integrating the Principles of Evidence Based Medicine and Evidence Based Public Health: Impact on the Quality of Patient Care and Hospital Readmission Rates in Jordan

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    Mohammad S. Alyahya

    2016-08-01

    Full Text Available Introduction: Hospital readmissions impose not only an extra burden on health care systems but impact patient health outcomes. Identifying modifiable behavioural risk factors that are possible causes of potentially avoidable readmissions can lower readmission rates and healthcare costs. Methods: Using the core principles of evidence based medicine and public health, the purpose of this study was to develop a heuristic guide that could identify what behavioural risk factors influence hospital readmissions through adopting various methods of analysis including regression models, t-tests, data mining, and logistic regression. This study was a retrospective cohort review of internal medicine patients admitted between December 1, 2012 and December 31, 2013 at King Abdullah University Hospital, in Jordan. Results: 29% of all hospitalized patients were readmitted during the study period. Among all readmissions, 44% were identified as potentially avoidable. Behavioural factors including smoking, unclear follow-up and discharge planning, and being non-compliant with treatment regimen as well as discharge against medical advice were all associated with increased risk of avoidable readmissions. Conclusion: Implementing evidence based health programs that focus on modifiable behavioural risk factors for both patients and clinicians would yield a higher response in terms of reducing potentially avoidable readmissions, and could reduce direct medical costs.

  1. Integrating the Principles of Evidence Based Medicine and Evidence Based Public Health: Impact on the Quality of Patient Care and Hospital Readmission Rates in Jordan

    Science.gov (United States)

    Hijazi, Heba H.; Alshraideh, Hussam A.; Alsharman, Mohammad Aser; Al Abdi, Rabah; Harvey, Heather Lea

    2016-01-01

    Introduction: Hospital readmissions impose not only an extra burden on health care systems but impact patient health outcomes. Identifying modifiable behavioural risk factors that are possible causes of potentially avoidable readmissions can lower readmission rates and healthcare costs. Methods: Using the core principles of evidence based medicine and public health, the purpose of this study was to develop a heuristic guide that could identify what behavioural risk factors influence hospital readmissions through adopting various methods of analysis including regression models, t-tests, data mining, and logistic regression. This study was a retrospective cohort review of internal medicine patients admitted between December 1, 2012 and December 31, 2013 at King Abdullah University Hospital, in Jordan. Results: 29% of all hospitalized patients were readmitted during the study period. Among all readmissions, 44% were identified as potentially avoidable. Behavioural factors including smoking, unclear follow-up and discharge planning, and being non-compliant with treatment regimen as well as discharge against medical advice were all associated with increased risk of avoidable readmissions. Conclusion: Implementing evidence based health programs that focus on modifiable behavioural risk factors for both patients and clinicians would yield a higher response in terms of reducing potentially avoidable readmissions, and could reduce direct medical costs. PMID:28413365

  2. Integrated Care to Address the Physical Health Needs of People with Severe Mental Illness: A Mapping Review of the Recent Evidence on Barriers, Facilitators and Evaluations.

    Science.gov (United States)

    Rodgers, Mark; Dalton, Jane; Harden, Melissa; Street, Andrew; Parker, Gillian; Eastwood, Alison

    2018-01-25

    People with mental health conditions have a lower life expectancy and poorer physical health outcomes than the general population. Evidence suggests this is due to a combination of clinical risk factors, socioeconomic factors, and health system factors, notably a lack of integration when care is required across service settings. Several recent reports have looked at ways to better integrate physical and mental health care for people with severe mental illness (SMI). We built on these by conducting a mapping review that looked for the most recent evidence and service models in this area. This involved searching the published literature and speaking to people involved in providing or using current services. Few of the identified service models were described adequately and fewer still were evaluated, raising questions about the replicability and generalisability of much of the existing evidence. However, some common themes did emerge. Efforts to improve the physical health care of people with SMI should empower staff and service users and help remove everyday barriers to delivering and accessing integrated care. In particular, there is a need for improved communication among professionals and better information technology to support them, greater clarity about who is responsible and accountable for physical health care, and greater awareness of the effects of stigmatisation on the wider culture and environment in which services are delivered.

  3. Integrated Care to Address the Physical Health Needs of People with Severe Mental Illness: A Mapping Review of the Recent Evidence on Barriers, Facilitators and Evaluations

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    Mark Rodgers

    2018-01-01

    Full Text Available People with mental health conditions have a lower life expectancy and poorer physical health outcomes than the general population. Evidence suggests this is due to a combination of clinical risk factors, socioeconomic factors, and health system factors, notably a lack of integration when care is required across service settings. Several recent reports have looked at ways to better integrate physical and mental health care for people with severe mental illness (SMI. We built on these by conducting a mapping review that looked for the most recent evidence and service models in this area. This involved searching the published literature and speaking to people involved in providing or using current services. Few of the identified service models were described adequately and fewer still were evaluated, raising questions about the replicability and generalisability of much of the existing evidence. However, some common themes did emerge. Efforts to improve the physical health care of people with SMI should empower staff and service users and help remove everyday barriers to delivering and accessing integrated care. In particular, there is a need for improved communication among professionals and better information technology to support them, greater clarity about who is responsible and accountable for physical health care, and greater awareness of the effects of stigmatisation on the wider culture and environment in which services are delivered.

  4. Preparing for opening night: temporal boundary objects in textually-mediated professional practice

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    Elisabeth Davies

    2004-01-01

    Full Text Available The authors report on two projects in which the role of documents as temporal boundary objects mediating information practices across multiple timelines was explored. It has been suggested that studying workplace documents will uncover the information practices of professionals beyond traditional information needs and uses studies. Two workplaces were studied: a professional theatre production and a midwifery clinic. Both settings are communities constructed partly through textual dynamics and both have a pre-production phase leading to an opening night. In the theatre setting, qualitative interviews with the cast and crew and document analysis of the prompt book were the means of data collection. The midwifery clinic setting was investigated by means of interviews and follow-ups with sixteen midwife-client pairs and document analysis of the antenatal record. Preliminary thematic analysis pertaining to time and information was conducted on interview transcripts and the relevant documents. It was possible to show several instances of both the prompt book and the antenatal record being treated as a timeline by the various professionals using them. The authors conclude with a discussion of the temporal aspects of professionals' information practices as revealed by these two projects and encourage further document-focused research.

  5. The language of racism. Textual testimonies of Jewish-Arab hostility in the Israeli Academia

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    Tamar Heger

    2015-02-01

    Full Text Available The persistent Jewish Arab conflict is present in every aspect of life in Israeli society and its echoes penetrate the everyday reality of higher educational institutions. Feelings of mutual hostility among Arab and Jewish students, faculty and administration are common experiences on Israeli campuses. This article analyzes two textual expressions of this mutual resentment which were circulated in 2011 in Tel Hai College, Israel. One of the texts was produced by Muslim Arab student association and the other by a Zionist Jewish organization. Both groups are present on every campus in Israel. Despite the significant difference of the political location occupied by each organization in the Israeli power structure, we argue that these texts share similar attitudes to the conflict and parallel operational strategies. The paper demonstrates the attempts by these texts to encourage the mutual hostility between Jews and Arabs by employing racist and violent discourse. The article tries to explain the silence of the college administration and faculty in the face of these racist acts, subsequently outlining a vision of a responsible academia which will banish any acts of racism.

  6. In the Beginning was the Genome: Genomics and the Bi-textuality of Human Existence.

    Science.gov (United States)

    Zwart, H A E Hub

    2018-04-01

    This paper addresses the cultural impact of genomics and the Human Genome Project (HGP) on human self-understanding. Notably, it addresses the claim made by Francis Collins (director of the HGP) that the genome is the language of God and the claim made by Max Delbrück (founding father of molecular life sciences research) that Aristotle must be credited with having predicted DNA as the soul that organises bio-matter. From a continental philosophical perspective I will argue that human existence results from a dialectical interaction between two types of texts: the language of molecular biology and the language of civilisation; the language of the genome and the language of our socio-cultural, symbolic ambiance. Whereas the former ultimately builds on the alphabets of genes and nucleotides, the latter is informed by primordial texts such as the Bible and the Quran. In applied bioethics deliberations on genomics, science is easily framed as liberating and progressive, religious world-views as conservative and restrictive (Zwart 1993). This paper focusses on the broader cultural ambiance of the debate to discern how the bi-textuality of human existence is currently undergoing a transition, as not only the physiological, but also the normative dimension is being reframed in biomolecular and terabyte terms.

  7. Dis/Graceful Liberties: Textual Libertinism/ Libertine Texts in J.M. Coetzee’s Disgrace

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    Driss Hager Ben

    2017-12-01

    Full Text Available This essay addresses J.M. Coetzee’s Disgrace, a Booker Prize winner in 1999. The novel captures South African political and cultural turmoil attending the post-apartheid transitional period. Far from overlooking the political allegory, I propose instead to expand on a topic only cursorily developed elsewhere, namely liberty and license. The two terms foreground the textual dynamics of the novel as they compete and/or negotiate meaning and ascendency. I argue that Disgrace is energized by Coetzee’s belief in a total liberty of artistic production. Sex is philosophically problematized in the text and advocated as a serious issue that deserves artistic investigation without restriction or censorship. This essay looks into the subtle libertinism in Coetzee’s text, which displays pornographic overtones without exhibiting a flamboyant libertinage. Disgrace acquires its libertine gesture from its dialogue with several literary works steeped in libertinism. The troubled relationship between the aesthetic and the ethical yields an ambiguous text that invites a responsible act of reading.

  8. Chawton Novels Online, Women’s Writing 1751-1834 and Computer-Aided Textual Analysis

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    Anne Bandry-Scubbi

    2015-10-01

    Full Text Available Using Chawton House Library’s “Novels Online,” several corpora have been set up for a computer-aided textual analysis of the use of vocabulary by women writing “domestic novels” from 1752 to 1834. This corpus stylistics approach makes it possible to map texts according to their word usage and to identify quantitative keywords which provide vocabulary profiles through comparison and contrast with contemporary male and female canonical texts. Items identified include pronouns, markers of dialogue and of intensity; others can be grouped into specific lexical fields such as feelings. One text from the collection then forms the object of a case-study to explore a paradox: although Jane Taylor’s use of vocabulary in her 1817 Rachel appears the most representative of the corpus made up of 42 novels by women, this Chawton text has been called “a highly original tale.” Methodology and findings are both presented to address the challenge of identifying features which constitute typicality.

  9. Location and Unlocation: Examining Gender and Telephony through Autoethnographic Textual and Visual Methods

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    Lia Bryant BSW, PhD in Sociology

    2013-02-01

    Full Text Available Studies on gender and telephony tend to be quantitative and depict the purposes for which women and men use mobile telephones and landlines. Qualitative studies on the topic predominantly rely on face-to-face interviews to examine how telephone use genders space. We suggest these traditional methods of data collection leave unexamined the emotional and social relationships that emerge and are enabled by telephone use, which at times reconfigure and gender social spaces. In this article we present a collaborative autoethnographic inquiry based on our own telephone lives. We introduce a reflexive visual and textual methodological design, specifically diary notes, memory work, and photography, developed from our lives as researcher and researched. We examine an important theme in our findings, the physical placement of the telephone and the phone holder's awareness of the physicality of the telephone, which illustrates the importance of our methodological choices. We show how the placement of the phone by the users both genders space and creates emotional spaces.

  10. Comprensión y producción textual narrativa en preescolares

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    Luz Stella López Silva

    2014-01-01

    Full Text Available Este estudio buscó identificar y describir las habilidades de comprensión y producción textual narrativa de 158 estudiantes de transición de estrato 1 y 2 de colegios públicos de la ciudad de Barranquilla (Colombia. Para evaluar esta capacidad se les pidió a los niños que narraran un texto que se les había leído anteriormente. Las muestras de lenguaje se analizaron utilizando el software SALT y posteriormente se utilizó el software SPSS para realizar los análisis descriptivos. Se consideró la estructura organizativa microestructura, macroestructura y superestructura desde el nivel de comprensión literal e inferencial. Se encontró que la mayoría de los niños tienen un desarrollo narrativo acorde con su edad, sin embargo, la elaboración inferencial fue escasa, lo que posiblemente afectó la comprensión de la historia por parte de los mismos.

  11. Consciência da "estrutura argumentativa" e produção textual

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    Regina Pinheiro

    Full Text Available A suposição cognitivista de que a consciência de um "esquema argumentativo" oriente as produções textuais dos indivíduos está longe de ser pacífica. Alternativamente, sugere-se que os elementos incluídos num texto seriam determinados pela consciência a respeito de parâmetros da situação de produção textual (finalidade, destinatário, etc.. Partindo-se desta controvérsia, investigou-se em que medida a reflexão sobre a "estrutura argumentativa" exerceria um impacto sobre os elementos que crianças e adultos jovens incorporariam a seus textos. A análise dos resultados mostrou que: ponto de vista e justificativa foram os elementos considerados indispensáveis a uma escrita argumentativa. Antecipação de contra-argumentos foi vista como relevante para a consecução do objetivo persuasivo do texto apenas quando eram rebatidos. A reflexão sobre elementos da "estrutura argumentativa" nem sempre correspondeu à inclusão destes nos textos produzidos. Tal inclusão dependeu primordialmente da avaliação dos elementos que mais contribuiriam para a consecução da finalidade persuasiva do texto - consciência retórica.

  12. Intercultural Passages in Ottó Tolnai’s Textual Universe

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    Ispánovics Csapó Julianna

    2014-12-01

    Full Text Available The literary palette of Tolnai’s textual universe within the Hungarian literature from Vojvodina is based, among others, upon the intertwining of various cultural entities. The social and cultural spaces of “Big Yugoslavia,” the phenomena, figures, and works of the European-oriented Yugoslav and ethnic culture (literature, painting, book publishing, theatre, sports, etc., the mentalities of the migrant worker’s life, the legends of the Tito cult embed the narrative procedures of particular texts by Tolnai into a rich culture-historical context. Similarly to the model of Valery’s Mediterranean, the narrator’s Janus-faced Yugoslavia simultaneously generates concrete and utopian spaces, folding upon one another. Above the micro spaces (towns, houses, flats evolving along the traces of reality, there float the Proustian concepts of scent and colour of the Adriatic sea (salt, azure, mimosa, lavender, laurel. The nostalgia towards the lost Eden rises high and waves about the “grand form” of Big Yugoslavia, the related space of which is the Monarchy. The counterpoints of the grand forms are “the small, void forms,” provinces, regions (Vojvodina, North Bačka and the micro spaces coded into them. The text analyses of the paper examine the intercultural motions and identityforming culture-historical elements of the outlined space system.

  13. Discerning applicants’ interests in rural medicine: a textual analysis of admission essays

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    Carol L. Elam

    2015-03-01

    Full Text Available Background: Despite efforts to construct targeted medical school admission processes using applicant-level correlates of future practice location, accurately gauging applicants’ interests in rural medicine remains an imperfect science. This study explores the usefulness of textual analysis to identify rural-oriented themes and values underlying applicants’ open-ended responses to admission essays. Methods: The study population consisted of 75 applicants to the Rural Physician Leadership Program (RPLP at the University of Kentucky College of Medicine. Using WordStat, a proprietary text analysis program, applicants’ American Medical College Application Service personal statement and an admission essay written at the time of interview were searched for predefined keywords and phrases reflecting rural medical values. From these text searches, derived scores were then examined relative to interviewers’ subjective ratings of applicants’ overall acceptability for admission to the RPLP program and likelihood of practicing in a rural area. Results: The two interviewer-assigned ratings of likelihood of rural practice and overall acceptability were significantly related. A statistically significant relationship was also found between the rural medical values scores and estimated likelihood of rural practice. However, there was no association between rural medical values scores and subjective ratings of applicant acceptability. Conclusions: That applicants’ rural values in admission essays were not related to interviewers’ overall acceptability ratings indicates that other factors played a role in the interviewers’ assessments of applicants’ acceptability for admission.

  14. Discerning applicants' interests in rural medicine: a textual analysis of admission essays.

    Science.gov (United States)

    Elam, Carol L; Weaver, Anthony D; Whittler, Elmer T; Stratton, Terry D; Asher, Linda M; Scott, Kimberly L; Wilson, Emery A

    2015-01-01

    Despite efforts to construct targeted medical school admission processes using applicant-level correlates of future practice location, accurately gauging applicants' interests in rural medicine remains an imperfect science. This study explores the usefulness of textual analysis to identify rural-oriented themes and values underlying applicants' open-ended responses to admission essays. The study population consisted of 75 applicants to the Rural Physician Leadership Program (RPLP) at the University of Kentucky College of Medicine. Using WordStat, a proprietary text analysis program, applicants' American Medical College Application Service personal statement and an admission essay written at the time of interview were searched for predefined keywords and phrases reflecting rural medical values. From these text searches, derived scores were then examined relative to interviewers' subjective ratings of applicants' overall acceptability for admission to the RPLP program and likelihood of practicing in a rural area. The two interviewer-assigned ratings of likelihood of rural practice and overall acceptability were significantly related. A statistically significant relationship was also found between the rural medical values scores and estimated likelihood of rural practice. However, there was no association between rural medical values scores and subjective ratings of applicant acceptability. That applicants' rural values in admission essays were not related to interviewers' overall acceptability ratings indicates that other factors played a role in the interviewers' assessments of applicants' acceptability for admission.

  15. COERÊNCIA IMAGÉTICO-TEXTUAL NO GÊNERO QUADRINHOS?

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    Jack Brandão

    2015-12-01

    Full Text Available Este artigo objetiva o estudo analítico das linguagens verbal e não verbal presentes nas histórias em quadrinhos (tiras, com o intuito de verificar como a união das duas linguagens presentes no gênero é eficiente enquanto mecanismo auxiliador no processo de compreensão da mensagem transmitida. Enfatiza-se ainda a importância da parceria autor-leitor e de outros elementos como essenciais para que a leitura do (contexto aconteça, enfatizando-se a força do texto não verbal nesse processo. Esta investigação está alicerçada nos pressupostos teóricos da Linguística Textual e, em especial, do conceito de coerência, utilizando-se da leitura e análise de tiras elucidativas da personagem Mafalda, criação do cartunista argentino Quino, nos anos 60.

  16. The third language: A recurrent textual restriction that translators come across in audiovisual translation.

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    Montse Corrius Gimbert

    2005-01-01

    Full Text Available If the process of translating is not at all simple, the process of translating an audiovisual text is still more complex. Apart rom technical problems such as lip synchronisation, there are other factors to be considered such as the use of the language and textual structures deemed appropriate to the channel of communication. Bearing in mind that most of the films we are continually seeing on our screens were and are produced in the United States, there is an increasing need to translate them into the different languages of the world. But sometimes the source audiovisual text contains more than one language, and, thus, a new problem arises: the ranslators face additional difficulties in translating this “third language” (language or dialect into the corresponding target culture. There are many films containing two languages in the original version but in this paper we will focus mainly on three films: Butch Cassidy and the Sundance Kid (1969, Raid on Rommel (1999 and Blade Runner (1982. This paper aims at briefly illustrating different solutions which may be applied when we come across a “third language”.

  17. True Detective Stories: Media Textuality and the Anthology Format between Remediation and Transmedia Narratives

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    Cristina Demaria

    2014-12-01

    Full Text Available Through the analysis of the recent HBO first season TV series True Detective (2014-, the essays focuses on the renewed anthology format of contemporary seriality as a way to inscribe the form of the novel in the transmedia imagination and its narrative models. While the first part of the essay concentrates on Media and Literary Studies’ debates on the statute of media texts, their materiality and the transformations of their contents in the participatory and convergent culture of prosumers, the second part is devoted to an in-depth reading of some of the main features of True Detective’s first season: from the ways it remediates many other genres and media, to how – as an audiovisual sychretyc text -  it plays with dialogues, cinematography, music and its temporal, spatial and seeing enunciative strategies and positions in order to construct a (quasidystopic narrative of America as an after-image, or, better, a post-collapse America and its Southern Gothic landscapes. In the lst paragraph, this writing briefly engages with how this particular format of TV series helps developing narrative models that fan we bpages and fanfic archives are still struggling not so much to comprehend, but to actually transform into an expanded textuality  able to tell a more ‘true’ story.

  18. Rethinking Over Textuality of Digital Image: A Methodological Proposal for Pleasant Reading on Digital Screens

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    Cristian Álvarez

    2009-12-01

    Full Text Available It sets out the necessity about thinking over the instructional function of image in digital world under the light of the new opportunities of a methodological proposal to read as a game. First, for this reason it exams the perceptions of García Canclini about the reading of university students, and its problems on the context of new technologies: accumulation of information versus weakening of reflection. To this situation it adds the no appreciation of visual images. Faced with this problematic situation, and with the aim of sketching out options, it analyzes two experiences about books: the “tasty” reading of texts (the “good reading”, and the potentialities presented in the essential characteristics of playing. So, it proposes a methodology shaped for five steps to read images on digital screen. Its aim is seizing the possibilities of “good reading” to expand the comprehension of the visual information perceived through the screen. The proposal puts the accent in the textuality of representational surface of an image. Also it brings the attentive visual route about in order to enable to identify both significant forms and spaces. This proposal is illustrated with examples.

  19. Norman Fairclough’s Textually Oriented Discourse Analysis in Vladimir Nabokov’s Lolita

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    Pegah Sheibeh

    2016-03-01

    Full Text Available The present study is an attempt to use “textually oriented discourse analysis” of Norman Fairclough, (1941, to offer a new reading of Vladimir Nabokov’s Lolita (1955. The researcher found it quite appropriate to read the chosen work through Fairclough’s stylistic and discursive features in order to represent the identities of the main characters. Nabokov’s works represent an important portrayal of discursive challenges in the post-war American society that is largely invested in Fairclough’s theory. One of the most apparent aspects in Nabokov’s works is that of social identity and subject formation. As discourse theory denotes, a subject 'misrepresents' the world in ideology because he wants to do so, because there is some reward or benefit to him in doing so. Similarly Humbert Humbert in Lolita is looking for an imaginary world by which he can hide his suppressed identity. He fakes a new identity for himself through fiction. Considering the style of narration in Lolita, some reader consider Humbert as an unreliable narrator, he sometimes makes up some events and in some parts of the story he seems insane and uncertain. In Lolita Nabokov tries to show that each individual creates his/her reality and do not reflect reality. Humbert narrates his personal story from his point of view which might be different from people around him. Reality in Nabokov’s perspective is subjective and mixture of memory and imagination.

  20. Comprensión y Producción Textual Narrativa en Estudiantes de Educación Primaria

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    LEIDY TATIANA GUZMÁN TORRES

    2015-01-01

    Full Text Available Por medio de un enfoque mixto, se caracterizó la comprensión y producción textual narrativa en estudiantes de educación primaria (primero y segundo grado, así como aspectos psicosociales (valor social de la lectura y hábito lector y contextuales (interacciones cognitivas y afectivas docente-niños en docentes de educación primaria de tres instituciones educativas. Se encontró que los estudiantes tuvieron un desempeño medio alto en producción textual y comprensión literal, y bajo en comprensión inferencial. Además, se observó que la mayoría de las docentes son lectoras ocasionales, emplean interacciones cognitivas unidireccionales, ofrecen un mediano apoyo emocional a sus estudiantes y valoran la lectura como una herramienta instrumental y lúdica.

  1. Information Literacy on the Web: How College Students Use Visual and Textual Cues to Assess Credibility on Health Websites

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    Katrina L. Pariera

    2012-12-01

    Full Text Available One of the most important literacy skills in today’s information society is the ability to determine the credibility of online information. Users sort through a staggering number of websites while discerning which will provide satisfactory information. In this study, 70 college students assessed the credibility of health websites with a low and high design quality, in either low or high credibility groups. The study’s purpose was to understand if students relied more on textual or visual cues in determining credibility, and to understand if this affected their recall of those cues later. The results indicate that when viewing a high credibility website, high design quality will bolster the credibility perception, but design quality will not compensate for a low credibility website. The recall test also indicated that credibility does impact the participants’ recall of visual and textual cues. Implications are discussed in light of the Elaboration Likelihood Model.

  2. Inhibition of Pre-Supplementary Motor Area by Continuous Theta Burst Stimulation Leads to More Cautious Decision-making and More Efficient Sensory Evidence Integration.

    Science.gov (United States)

    Tosun, Tuğçe; Berkay, Dilara; Sack, Alexander T; Çakmak, Yusuf Ö; Balcı, Fuat

    2017-08-01

    Decisions are made based on the integration of available evidence. The noise in evidence accumulation leads to a particular speed-accuracy tradeoff in decision-making, which can be modulated and optimized by adaptive decision threshold setting. Given the effect of pre-SMA activity on striatal excitability, we hypothesized that the inhibition of pre-SMA would lead to higher decision thresholds and an increased accuracy bias. We used offline continuous theta burst stimulation to assess the effect of transient inhibition of the right pre-SMA on the decision processes in a free-response two-alternative forced-choice task within the drift diffusion model framework. Participants became more cautious and set higher decision thresholds following right pre-SMA inhibition compared with inhibition of the control site (vertex). Increased decision thresholds were accompanied by an accuracy bias with no effects on post-error choice behavior. Participants also exhibited higher drift rates as a result of pre-SMA inhibition compared with the vertex inhibition. These results, in line with the striatal theory of speed-accuracy tradeoff, provide evidence for the functional role of pre-SMA activity in decision threshold modulation. Our results also suggest that pre-SMA might be a part of the brain network associated with the sensory evidence integration.

  3. How Strong Is Your Coffee? The Influence of Visual Metaphors and Textual Claims on Consumers’ Flavor Perception and Product Evaluation

    Science.gov (United States)

    Fenko, Anna; de Vries, Roxan; van Rompay, Thomas

    2018-01-01

    This study investigates the relative impact of textual claims and visual metaphors displayed on the product’s package on consumers’ flavor experience and product evaluation. For consumers, strength is one of the most important sensory attributes of coffee. The 2 × 3 between-subjects experiment (N = 123) compared the effects of visual metaphor of strength (an image of a lion located either on top or on the bottom of the package of coffee beans) and the direct textual claim (“extra strong”) on consumers’ responses to coffee, including product expectation, flavor evaluation, strength perception and purchase intention. The results demonstrate that both the textual claim and the visual metaphor can be efficient in communicating the product attribute of strength. The presence of the image positively influenced consumers’ product expectations before tasting. The textual claim increased the perception of strength of coffee and the purchase intention of the product. The location of the image also played an important role in flavor perception and purchase intention. The image located on the bottom of the package increased the perceived strength of coffee and purchase intention of the product compared to the image on top of the package. This result could be interpreted from the perspective of the grounded cognition theory, which suggests that a picture in the lower part of the package would automatically activate the “strong is heavy” metaphor. As heavy objects are usually associated with a position on the ground, this would explain why perceiving a visually heavy package would lead to the experience of a strong coffee. Further research is needed to better understand the relationships between a metaphorical image and its spatial position in food packaging design. PMID:29459840

  4. How Strong Is Your Coffee? The Influence of Visual Metaphors and Textual Claims on Consumers’ Flavor Perception and Product Evaluation

    Directory of Open Access Journals (Sweden)

    Anna Fenko

    2018-02-01

    Full Text Available This study investigates the relative impact of textual claims and visual metaphors displayed on the product’s package on consumers’ flavor experience and product evaluation. For consumers, strength is one of the most important sensory attributes of coffee. The 2 × 3 between-subjects experiment (N = 123 compared the effects of visual metaphor of strength (an image of a lion located either on top or on the bottom of the package of coffee beans and the direct textual claim (“extra strong” on consumers’ responses to coffee, including product expectation, flavor evaluation, strength perception and purchase intention. The results demonstrate that both the textual claim and the visual metaphor can be efficient in communicating the product attribute of strength. The presence of the image positively influenced consumers’ product expectations before tasting. The textual claim increased the perception of strength of coffee and the purchase intention of the product. The location of the image also played an important role in flavor perception and purchase intention. The image located on the bottom of the package increased the perceived strength of coffee and purchase intention of the product compared to the image on top of the package. This result could be interpreted from the perspective of the grounded cognition theory, which suggests that a picture in the lower part of the package would automatically activate the “strong is heavy” metaphor. As heavy objects are usually associated with a position on the ground, this would explain why perceiving a visually heavy package would lead to the experience of a strong coffee. Further research is needed to better understand the relationships between a metaphorical image and its spatial position in food packaging design.

  5. The Army and the Academy as Textual Communities: Exploring Mismatches in the Concepts of Attribution, Appropriation, and Shared Goals

    Science.gov (United States)

    2010-01-01

    writing manual, Student Text 22-1, provides information on plagiarism violations, which are "subject to review and may be referred to an academic board...charges of plagiarism were leveled by an academic who recognized in the manual various ideas and text from previous published sources. In many ways...worried about academic plagiarism may believe that revealing variations in textual practices "sends a message" to students that rules can be bent in

  6. How Strong Is Your Coffee? The Influence of Visual Metaphors and Textual Claims on Consumers' Flavor Perception and Product Evaluation.

    Science.gov (United States)

    Fenko, Anna; de Vries, Roxan; van Rompay, Thomas

    2018-01-01

    This study investigates the relative impact of textual claims and visual metaphors displayed on the product's package on consumers' flavor experience and product evaluation. For consumers, strength is one of the most important sensory attributes of coffee. The 2 × 3 between-subjects experiment ( N = 123) compared the effects of visual metaphor of strength (an image of a lion located either on top or on the bottom of the package of coffee beans) and the direct textual claim ("extra strong") on consumers' responses to coffee, including product expectation, flavor evaluation, strength perception and purchase intention. The results demonstrate that both the textual claim and the visual metaphor can be efficient in communicating the product attribute of strength. The presence of the image positively influenced consumers' product expectations before tasting. The textual claim increased the perception of strength of coffee and the purchase intention of the product. The location of the image also played an important role in flavor perception and purchase intention. The image located on the bottom of the package increased the perceived strength of coffee and purchase intention of the product compared to the image on top of the package. This result could be interpreted from the perspective of the grounded cognition theory, which suggests that a picture in the lower part of the package would automatically activate the "strong is heavy" metaphor. As heavy objects are usually associated with a position on the ground, this would explain why perceiving a visually heavy package would lead to the experience of a strong coffee. Further research is needed to better understand the relationships between a metaphorical image and its spatial position in food packaging design.

  7. Revisão textual: para além da revisão linguística

    Directory of Open Access Journals (Sweden)

    Sueli Maria Coelho

    2010-07-01

    Full Text Available Este artigo pretende reforçar a ideia de que a revisão textual deve extrapolar a simples correção de questões gramaticais e ortográficas nos textos. Para além dessas questões, observar parâmetros como o gênero e a textualidade no material a ser revisado, bem como se ele está adequado em relação a normas de publicação, discussão do tema e aspectos gráficos faz-se fundamental para uma boa revisão textual. Após discussões teóricas a respeito de aspectos globais do texto, tais como a noção de gêneros textuais/discursivos e a de textualidade, buscou-se mostrar, por meio da análise de três textos (um resumo acadêmico, uma notícia retirada de um sítio e uma piada como os aspectos aqui discutidos influenciam na tomada de decisões do revisor.Palavras-Chave: Revisão textual; Revisão linguística e temática; Revisão gráfica e normalizadora; Gêneros textuais/discursivos.

  8. Comprensión y Producción Textual Narrativa en Estudiantes de Educación Primaria/ Narrative Textual Comprehension and Production in Primary School Students/ Compreensão e Produção Textual Narrativa em Estudantes de Educação Primária

    Directory of Open Access Journals (Sweden)

    Leidy Tatiana Guzmán Torres

    2015-05-01

    Full Text Available Por medio de un enfoque mixto, se caracterizó la comprensión y producción textual narrativa en estudiantes de educación primaria (primero y segundo grado, así como aspectos psicosociales (valor social de la lectura y hábito lector y contextuales (interacciones cognitivas y afectivas docente-niños en docentes de educación primaria de tres instituciones educativas. Se encontró que los estudiantes tuvieron un desempeño medio alto en producción textual y comprensión literal, y bajo en comprensión inferencial. Además, se observó que la mayoría de las docentes son lectoras ocasionales, emplean interacciones cognitivas unidireccionales, ofrecen un mediano apoyo emocional a sus estudiantes y valoran la lectura como una herramienta instrumental y lúdica.

  9. Determinants of Capital Integration among Strategic Alliance Members in the Retail Sector: Evidence from Central and Southeast European Countries

    Directory of Open Access Journals (Sweden)

    Nikola Butigan

    2016-12-01

    Full Text Available Survival of firms requires continuous search for new and a restructuring of the existing competitive advantages. These can come either from firms’ internal factors or from cooperation with the environment. Cooperation among firms commonly takes place through the formation of strategic alliances. However, such form of cooperation presents only one stage in the integration of business entities. In the long run, strategic alliances can cease to exist or transform into a higher form of association based on capital integration. The objective of this paper is to explore the determinants of capital integration among strategic alliance member firms in retail sectors of several Central and Southeast European countries. Overall, the obtained findings suggest that business entities engage in integration with the aim of reaching hidden knowledge and skills, accessing distribution and supply channels, and developing new products and services. Integration is also driven with the aim of risk diversification and possible better market positioning, achieving the economies of scale, and improving organization and marketing. The opportunistic behavior of partners and limited managerial control represent its strongest barriers.

  10. Self-other integration and distinction in schizophrenia: A theoretical analysis and a review of the evidence.

    Science.gov (United States)

    van der Weiden, Anouk; Prikken, Merel; van Haren, Neeltje E M

    2015-10-01

    Difficulties in self-other processing lie at the core of schizophrenia and pose a problem for patients' daily social functioning. In the present selective review, we provide a framework for understanding self-other integration and distinction, and impairments herein in schizophrenia. For this purpose, we discuss classic motor prediction models in relation to mirror neuron functioning, theory of mind, mimicry, self-awareness, and self-agency phenomena. Importantly, we also discuss the role of more recent cognitive expectation models in these phenomena, and argue that these cognitive models form an essential contribution to our understanding of self-other integration and distinction. In doing so, we bring together different lines of research and connect findings from social psychology, affective neuropsychology, and psychiatry to further our understanding of when and how people integrate versus distinguish self and other, and how this goes wrong in schizophrenia patients. Copyright © 2015 The Authors. Published by Elsevier Ltd.. All rights reserved.

  11. Integrating Evidence From Systematic Reviews, Qualitative Research, and Expert Knowledge Using Co-Design Techniques to Develop a Web-Based Intervention for People in the Retirement Transition.

    Science.gov (United States)

    O'Brien, Nicola; Heaven, Ben; Teal, Gemma; Evans, Elizabeth H; Cleland, Claire; Moffatt, Suzanne; Sniehotta, Falko F; White, Martin; Mathers, John C; Moynihan, Paula

    2016-08-03

    Integrating stakeholder involvement in complex health intervention design maximizes acceptability and potential effectiveness. However, there is little methodological guidance about how to integrate evidence systematically from various sources in this process. Scientific evidence derived from different approaches can be difficult to integrate and the problem is compounded when attempting to include diverse, subjective input from stakeholders. The intent of the study was to describe and appraise a systematic, sequential approach to integrate scientific evidence, expert knowledge and experience, and stakeholder involvement in the co-design and development of a complex health intervention. The development of a Web-based lifestyle intervention for people in retirement is used as an example. Evidence from three systematic reviews, qualitative research findings, and expert knowledge was compiled to produce evidence statements (stage 1). Face validity of these statements was assessed by key stakeholders in a co-design workshop resulting in a set of intervention principles (stage 2). These principles were assessed for face validity in a second workshop, resulting in core intervention concepts and hand-drawn prototypes (stage 3). The outputs from stages 1-3 were translated into a design brief and specification (stage 4), which guided the building of a functioning prototype, Web-based intervention (stage 5). This prototype was de-risked resulting in an optimized functioning prototype (stage 6), which was subject to iterative testing and optimization (stage 7), prior to formal pilot evaluation. The evidence statements (stage 1) highlighted the effectiveness of physical activity, dietary and social role interventions in retirement; the idiosyncratic nature of retirement and well-being; the value of using specific behavior change techniques including those derived from the Health Action Process Approach; and the need for signposting to local resources. The intervention

  12. Integrating Evidence From Systematic Reviews, Qualitative Research, and Expert Knowledge Using Co-Design Techniques to Develop a Web-Based Intervention for People in the Retirement Transition

    Science.gov (United States)

    O'Brien, Nicola; Heaven, Ben; Teal, Gemma; Evans, Elizabeth H; Cleland, Claire; Moffatt, Suzanne; Sniehotta, Falko F; White, Martin; Mathers, John C

    2016-01-01

    Background Integrating stakeholder involvement in complex health intervention design maximizes acceptability and potential effectiveness. However, there is little methodological guidance about how to integrate evidence systematically from various sources in this process. Scientific evidence derived from different approaches can be difficult to integrate and the problem is compounded when attempting to include diverse, subjective input from stakeholders. Objective The intent of the study was to describe and appraise a systematic, sequential approach to integrate scientific evidence, expert knowledge and experience, and stakeholder involvement in the co-design and development of a complex health intervention. The development of a Web-based lifestyle intervention for people in retirement is used as an example. Methods Evidence from three systematic reviews, qualitative research findings, and expert knowledge was compiled to produce evidence statements (stage 1). Face validity of these statements was assessed by key stakeholders in a co-design workshop resulting in a set of intervention principles (stage 2). These principles were assessed for face validity in a second workshop, resulting in core intervention concepts and hand-drawn prototypes (stage 3). The outputs from stages 1-3 were translated into a design brief and specification (stage 4), which guided the building of a functioning prototype, Web-based intervention (stage 5). This prototype was de-risked resulting in an optimized functioning prototype (stage 6), which was subject to iterative testing and optimization (stage 7), prior to formal pilot evaluation. Results The evidence statements (stage 1) highlighted the effectiveness of physical activity, dietary and social role interventions in retirement; the idiosyncratic nature of retirement and well-being; the value of using specific behavior change techniques including those derived from the Health Action Process Approach; and the need for signposting to local

  13. Self-other integration and distinction in schizophrenia : A theoretical analysis and a review of the evidence

    NARCIS (Netherlands)

    van der Weiden, Anouk; Prikken, Merel; van Haren, Neeltje E M

    2015-01-01

    Difficulties in self-other processing lie at the core of schizophrenia and pose a problem for patients' daily social functioning. In the present selective review, we provide a framework for understanding self-other integration and distinction, and impairments herein in schizophrenia. For this

  14. Self-other integration and distinction in schizophrenia : A theoretical analysis and a review of the evidence

    NARCIS (Netherlands)

    van der Weiden, A.|info:eu-repo/dai/nl/314571698; Prikken, Merel; van Haren, Neeltje

    2015-01-01

    Difficulties in self-other processing lie at the core of schizophrenia and pose a problem for patients’ daily social functioning. In the present selective review, we provide a framework for understanding self-other integration and distinction, and impairments herein in schizophrenia. For this

  15. The Desire for Amputation or Paralyzation : Evidence for Structural Brain Anomalies in Body Integrity Identity Disorder (BIID)

    NARCIS (Netherlands)

    Blom, Rianne M; van Wingen, Guido A; van der Wal, Sija J; Luigjes, Judy; van Dijk, Milenna T; Scholte, H Steven; Denys, D.

    2016-01-01

    BACKGROUND: Body Integrity Identity Disorder (BIID) is a condition in which individuals perceive a mismatch between their internal body scheme and physical body shape, resulting in an absolute desire to be either amputated or paralyzed. The condition is hypothesized to be of congenital nature, but

  16. Natural Resource Management Schemes as Entry Points for Integrated Landscape Approaches: Evidence from Ghana and Burkina Faso.

    Science.gov (United States)

    Foli, Samson; Ros-Tonen, Mirjam A F; Reed, James; Sunderland, Terry

    2017-04-20

    In recognition of the failures of sectoral approaches to overcome global challenges of biodiversity loss, climate change, food insecurity and poverty, scientific discourse on biodiversity conservation and sustainable development is shifting towards integrated landscape governance arrangements. Current landscape initiatives however very much depend on external actors and funding, raising the question of whether, and how, and under what conditions, locally embedded resource management schemes can serve as entry points for the implementation of integrated landscape approaches. This paper assesses the entry point potential for three established natural resource management schemes in West Africa that target landscape degradation with involvement of local communities: the Chantier d'Aménagement Forestier scheme encompassing forest management sites across Burkina Faso and the Modified Taungya System and community wildlife resource management initiatives in Ghana. Based on a review of the current literature, we analyze the extent to which design principles that define a landscape approach apply to these schemes. We found that the CREMA meets most of the desired criteria, but that its scale may be too limited to guarantee effective landscape governance, hence requiring upscaling. Conversely, the other two initiatives are strongly lacking in their design principles on fundamental components regarding integrated approaches, continual learning, and capacity building. Monitoring and evaluation bodies and participatory learning and negotiation platforms could enhance the schemes' alignment with integrated landscape approaches.

  17. Textual and language flaws: problems for Spanish doctors in producing abstracts in English

    Directory of Open Access Journals (Sweden)

    Lourdes Divasson Cilveti

    2006-04-01

    Full Text Available Scientific journals are the primary source of information for researchers. The number of articles currently indexed in databases is so large that it has become almost impossible to read every relevant article in a particular field. Thus, research paper abstracts (RPAs have acquired increasing importance. Several studies have shown that they are the skipping point, particularly among non-native English speakers. To our knowledge, little research has been carried out on RPA writing by Spanish doctors. It is thus the objective of this article to analyse the way abstracts are structured and linguistically realized by these professionals. We selected 30 RPAs written in English by Spanish speaking doctors from three leading Spanish journals on internal medicine. We recorded their textual level flaws by measuring the degree of informativeness with regard to three main variables: move patterning, ordering and structuring, and their language use flaws under two broad categories: ortho-typographic and grammatical. Length, use of hedges and keywords were also identified. 86.6% of the abstracts were informative, 13.3% uninformative while none of them could be classified as highly informative. With regard to the authors' use of language, over 70% presented some kind of flaws: 21.55% of these mistakes were ortho-typographic while 78.44% were grammatical. Our results support the need of designing specific units geared on the one hand towards explicit teaching of structured abstracts and on the other, towards the difficulties found by doctors because they lack language competence. They would also benefit from clearer guidelines from journal editors.

  18. Textual Analysis of General Surgery Residency Personal Statements: Topics and Gender Differences.

    Science.gov (United States)

    Ostapenko, Laura; Schonhardt-Bailey, Cheryl; Sublette, Jessica Walling; Smink, Douglas S; Osman, Nora Y

    2017-10-25

    Applicants to US general surgery residency training programs submit standardized applications. Applicants use the personal statement to express their individual rationale for a career in surgery. Our research explores common topics and gender differences within the personal statements of general surgery applicants. We analyzed the electronic residency application service personal statements of 578 applicants (containing 3,82,405 words) from Liaison Committee on Medical Education-accredited medical schools to a single ACGME-accredited general surgery program using an automated textual analysis program to identify common topics and gender differences. Using a recursive algorithm, the program identified common words and clusters, grouping them into topic classes, which are internally validated. We identified and labeled 8 statistically significant topic classes through independent review: "my story," "the art of surgery," "clinical vignettes," "why I love surgery," "residency program characteristics," "working as a team," "academics and research," and "global health and policy." Although some classes were common to all applications, we also identified gender-specific differences. Notably, women were significantly more likely than men to be represented within the class of "working as a team." (p differences between the statements of men and women. Women were more likely to discuss surgery as a team endeavor while men were more likely to focus on the details of their surgical experiences. Our work mirrors what has been found in social psychology research on gender-based differences in how men and women communicate their career goals and aspirations in other competitive professional situations. Copyright © 2017 Association of Program Directors in Surgery. Published by Elsevier Inc. All rights reserved.

  19. TRENDS IN A SOUTH AFRICAN INDUSTRIAL ENGINEERING RESEARCH JOURNAL: A TEXTUAL INFORMATION ANALYSIS PERSPECTIVE

    Directory of Open Access Journals (Sweden)

    J.W. Uys

    2012-01-01

    Full Text Available

    ENGLISH ABSTRACT: Industrial engineering (IE is a multi-disciplinary field, with its research borders broadening into a wide range of sub-disciplines. The South African Journal of Industrial Engineering (SAJIE has been the official voice of IE research in South Africa for the past 22 years. In the interests of evaluating research scope, it is worth determining how IE fields have been covered by this journal. What are the current topics in IE, and how do they align with IE publication trends in other countries? This article attempts to investigate these issues in an objective way by using a text analytical technique to analyse the SAJIE publication collection. Due to the growth in the quantity of accessible textual information, and the growing importance of this type of information to business people and industrial engineers alike, the relevant text analytical method is also outlined.

    AFRIKAANSE OPSOMMING: Bedryfsingenieurswese is ’n multidissiplinêre veld, met navorsingsgrense wat strek oor ’n wye reeks sub-dissiplines. Die Suid-Afrikaanse Tydskrif vir Bedryfsingenieurswese (SAJIE was oor die afgelope 22 jaar die amptelike mondstuk vir bedryfsingenieurswese-gerigte navorsing in Suid-Afrika. Dit is betekenisvol om te bepaal in watter hoedanigheid bedryfsingenieurswesevelde deur die SAJIE gedek word, ten einde die bestek van navorsing te evalueer. Wat is die huidige temas van bedryfsingenieurswese, en hoe vergelyk dit met bedryfsingenieurswese-publikasieneigings in ander lande? Hierdie artikel poog om die vraagstuk op ’n objektiewe wyse na te vors deur die toepassing van ’n teksanalitiese tegniek om die SAJIE publikasie versameling te ontleed. Weens die toename in die hoeveelheid beskikbare tekstuele inligting, asook die toenemende belang van hierdie tipe inligting vir besigheidspersone asook bedryfsingenieurs, word die betrokke teksanalitiese metode ook bespreek.

  20. Phrase Mining of Textual Data to Analyze Extracellular Matrix Protein Patterns Across Cardiovascular Disease.

    Science.gov (United States)

    Liem, David Alexandre; Murali, Sanjana; Sigdel, Dibakar; Shi, Yu; Wang, Xuan; Shen, Jiaming; Choi, Howard; Caufield, J Harry; Wang, Wei; Ping, Peipei; Han, Jiawei

    2018-05-18

    Extracellular matrix (ECM) proteins have been shown to play important roles regulating multiple biological processes in an array of organ systems, including the cardiovascular system. By using a novel bioinformatics text-mining tool, we studied six categories of cardiovascular disease (CVD), namely ischemic heart disease (IHD), cardiomyopathies (CM), cerebrovascular accident (CVA), congenital heart disease (CHD), arrhythmias (ARR), and valve disease (VD), anticipating novel ECM protein-disease and protein-protein relationships hidden within vast quantities of textual data. We conducted a phrase-mining analysis, delineating the relationships of 709 ECM proteins with the six groups of CVDs reported in 1,099,254 abstracts. The technology pipeline known as Context-aware Semantic Online Analytical Processing (CaseOLAP) was applied to semantically rank the association of proteins to each and all six CVDs, performing analyses to quantify each protein-disease relationship. We performed principal component analysis and hierarchical clustering of the data, where each protein is visualized as a six dimensional vector. We found that ECM proteins display variable degrees of association with the six CVDs; certain CVDs share groups of associated proteins whereas others have divergent protein associations. We identified 82 ECM proteins sharing associations with all six CVDs. Our bioinformatics analysis ascribed distinct ECM pathways (via Reactome) from this subset of proteins, namely insulin-like growth factor regulation and interleukin-4 and interleukin-13 signaling, suggesting their contribution to the pathogenesis of all six CVDs. Finally, we performed hierarchical clustering analysis and identified protein clusters associated with a targeted CVD; analyses revealed unexpected insights underlying ECM-pathogenesis of CVDs.

  1. ML-Ask: Open Source Affect Analysis Software for Textual Input in Japanese

    Directory of Open Access Journals (Sweden)

    Michal Ptaszynski

    2017-06-01

    Full Text Available We present ML-Ask – the first Open Source Affect Analysis system for textual input in Japanese. ML-Ask analyses the contents of an input (e.g., a sentence and annotates it with information regarding the contained general emotive expressions, specific emotional words, valence-activation dimensions of overall expressed affect, and particular emotion types expressed with their respective expressions. ML-Ask also incorporates the Contextual Valence Shifters model for handling negation in sentences to deal with grammatically expressible shifts in the conveyed valence. The system, designed to work mainly under Linux and MacOS, can be used for research on, or applying the techniques of Affect Analysis within the framework Japanese language. It can also be used as an experimental baseline for specific research in Affect Analysis, and as a practical tool for written contents annotation.   Funding statement: This research has been supported by: a Research Grant from the Nissan Science Foundation (years 2009–2010, The GCOE Program founded by Japan’s Ministry of Education, Culture, Sports, Science and Technology (years 2009–2010, (JSPS KAKENHI Grant-in-Aid for JSPS Fellows (Project Number: 22-00358 (years 2010–2012, (JSPS KAKENHI Grant-in-Aid for Scientific Research (Project Number: 24600001 (years 2012–2015, (JSPS KAKENHI Grant-in-Aid for Research Activity Start-up (Project Number: 25880003 (years 2013–2015, and (JSPS KAKENHI Grant-in-Aid for Encouragement of Young Scientists (B (Project Number: 15K16044 (years 2015-present, project estimated to end in March 2018.

  2. Integrating Veterinary Subject Expertise With Information Literacy Expertise to Teach and Assess the Student Skills in Evidence-based Veterinary Medicine

    Directory of Open Access Journals (Sweden)

    Heather Moberly

    2017-05-01

    Full Text Available A 2015 survey of veterinary educators at AVMA accredited veterinary colleges indicated use of a wide variety of teaching modalities and a broad disparity among colleges about the amount of EBVM skills taught and their place in the curriculum. Evidence in learning theory suggests that teaching the skills of EBVM requires consideration of ways to optimise the transfer of skills from the didactic or pre-clinical to the clinical setting. We partnered to successfully integrate asking a clinical question, searching the literature, appraising the literature, and applying evidence to the clinical question to make a clinical recommendation in a pre-clinical, 2nd year, course (pharmacology and two 4th year clinical rotations (Small Animal Dermatology and Food Animal. We use lecture and paired work to introduce identifying knowledge gaps and writing background and PICO questions. Searching the biomedical literature is taught in hands-on labs with lecture followed up with open tutorial hands-on lab opportunities. Students initially work in small groups to learn critical appraisal using a literature evaluation form we created, and then learn to apply the evidence in order to make a clinical recommendation. We will report on the learning activities, assignments, rubrics, and student outcomes. Teaching materials are Creative Commons licensed and will be distributed. We will also describe challenges and recommendations for integrating EBVM skills into other disciplines.

  3. Impact of social integration on metabolic functions: evidence from a nationally representative longitudinal study of US older adults.

    Science.gov (United States)

    Yang, Yang Claire; Li, Ting; Ji, Yinchun

    2013-12-20

    Metabolic functions may operate as important biophysiological mechanisms through which social relationships affect health. It is unclear how social embeddedness or the lack thereof is related to risk of metabolic dysregulation. To fill this gap we tested the effects of social integration on metabolic functions over time in a nationally representative sample of older adults in the United States and examined population heterogeneity in the effects. Using longitudinal data from 4,323 adults aged over 50 years in the Health and Retirement Study and latent growth curve models, we estimated the trajectories of social integration spanning five waves, 1998-2006, in relation to biomarkers of energy metabolism in 2006. We assessed social integration using a summary index of the number of social ties across five domains. We examined six biomarkers, including total cholesterol, high-density lipoprotein cholesterol, glycosylated hemoglobin, waist circumference, and systolic and diastolic blood pressure, and the summary index of the overall burden of metabolic dysregulation. High social integration predicted significantly lower risks of both individual and overall metabolic dysregulation. Specifically, adjusting for age, sex, race, and body mass index, having four to five social ties reduced the risks of abdominal obesity by 61% (odds ratio [OR] [95% confidence interval {CI}] = 0.39 [0.23, 0.67], p = .007), hypertension by 41% (OR [95% CI] = 0.59 [0.42, 0.84], p = .021), and the overall metabolic dysregulation by 46% (OR [95% CI] = 0.54 [0.40, 0.72], p < .001). The OR for the overall burden remained significant when adjusting for social, behavioral, and illness factors. In addition, stably high social integration had more potent metabolic impacts over time than changes therein. Such effects were consistent across subpopulations and more salient for the younger old (those under age 65), males, whites, and the socioeconomically disadvantaged. This study

  4. Efficacy and Cost-Effectiveness Analysis of Evidence-Based Nursing Interventions to Maintain Tissue Integrity to Prevent Pressure Ulcers and Incontinence-Associated Dermatitis.

    Science.gov (United States)

    Avşar, Pınar; Karadağ, Ayişe

    2018-02-01

    A reduction in tissue tolerance promotes the development of pressure ulcers (PUs) and incontinence-associated dermatitis (IAD). To determine the cost-effectiveness and efficacy of evidence-based (EB) nursing interventions on increasing tissue tolerance by maintaining tissue integrity. The study involved 154 patients in two intensive care units (77 patients, control group; 77 patients, intervention group). Data were collected using the following: patient characteristics form, Braden PU risk assessment scale, tissue integrity monitoring form, PU identification form, IAD and severity scale, and a cost table of the interventions. Patients in the intervention group were cared for by nurses trained in the use of the data collection tools and in EB practices to improve tissue tolerance. Routine nursing care was given to the patients in the control group. The researcher observed all patients in terms of tissue integrity and recorded the care-related costs. Deterioration of tissue integrity was observed in 18.2% patients in the intervention group compared to 54.5% in the control group (p cost to increase tissue tolerance prevention in the intervention and control groups was X¯ = $204.34 ± 41.07 and X¯ = $138.90 ± 1.70, respectively. It is recommended that EB policies and procedures are developed to improve tissue tolerance by maintaining tissue integrity. Although the cost of EB preventive initiatives is relatively high compared to those that are not EB, the former provide a significant reduction in the prevalence of tissue integrity deterioration. © 2017 Sigma Theta Tau International.

  5. COMBINATION OF GENETIC ALGORITHM AND DEMPSTER-SHAFER THEORY OF EVIDENCE FOR LAND COVER CLASSIFICATION USING INTEGRATION OF SAR AND OPTICAL SATELLITE IMAGERY

    Directory of Open Access Journals (Sweden)

    H. T. Chu

    2012-07-01

    Full Text Available The integration of different kinds of remotely sensed data, in particular Synthetic Aperture Radar (SAR and optical satellite imagery, is considered a promising approach for land cover classification because of the complimentary properties of each data source. However, the challenges are: how to fully exploit the capabilities of these multiple data sources, which combined datasets should be used and which data processing and classification techniques are most appropriate in order to achieve the best results. In this paper an approach, in which synergistic use of a feature selection (FS methods with Genetic Algorithm (GA and multiple classifiers combination based on Dempster-Shafer Theory of Evidence, is proposed and evaluated for classifying land cover features in New South Wales, Australia. Multi-date SAR data, including ALOS/PALSAR, ENVISAT/ASAR and optical (Landsat 5 TM+ images, were used for this study. Textural information were also derived and integrated with the original images. Various combined datasets were generated for classification. Three classifiers, namely Artificial Neural Network (ANN, Support Vector Machines (SVMs and Self-Organizing Map (SOM were employed. Firstly, feature selection using GA was applied for each classifier and dataset to determine the optimal input features and parameters. Then the results of three classifiers on particular datasets were combined using the Dempster-Shafer theory of Evidence. Results of this study demonstrate the advantages of the proposed method for land cover mapping using complex datasets. It is revealed that the use of GA in conjunction with the Dempster-Shafer Theory of Evidence can significantly improve the classification accuracy. Furthermore, integration of SAR and optical data often outperform single-type datasets.

  6. New product introduction and supplier integration in sales and operations planning : evidence from the Asia Pacific region

    OpenAIRE

    Goh, Shao Hung; Eldridge, Stephen

    2015-01-01

    Purpose: This paper investigates the implementation and performance benefits of Sales and Operations Planning (S&OP) within organizations in Asia Pacific. Design/methodology/approach: A case study method was used, with two companies selected. The first company had recently commenced S&OP and applied it to facilitate New Product Introduction, while the second had integrated its supplier into an existing S&OP program. Supply chain performance data was collected and analyzed in the context of an...

  7. Nurse staffing and system integration and change indicators in acute care hospitals: evidence from a balanced scorecard.

    Science.gov (United States)

    McGillis Hall, Linda; Peterson, Jessica; Baker, G Ross; Brown, Adalsteinn D; Pink, George H; McKillop, Ian; Daniel, Imtiaz; Pedersen, Cheryl

    2008-01-01

    This study examined relationships between financial indicators for nurse staffing and organizational system integration and change indicators. These indicators, along with hospital location and type, were examined in relation to the nursing financial indicators. Results showed that different indicators predicted each of the outcome variables. Nursing care hours were predicted by the hospital type, geographic location, and the system. Both nursing and patient care hours were significantly related to dissemination and benchmarking of clinical data.

  8. Using Learning Analytics to Implement Evidence-Based Interventions to Support Ethnic Minority and International Student Social Integrations

    OpenAIRE

    Mittelmeier, Jenna

    2015-01-01

    As universities in the UK become increasingly diverse, one common challenge is how best to socially integrate ethnic minority and international students into the classroom and larger campus. Indeed, research currently demonstrates that students most often form social and learning connections with peers from the same ethnicity or culture, despite the benefits of intergroup connections. However, few studies have looked at student social networks to determine how they influence actual behaviours...

  9. Determinants of Capital Integration among Strategic Alliance Members in the Retail Sector: Evidence from Central and Southeast European Countries

    OpenAIRE

    Butigan, Nikola; Benić, Đuro

    2016-01-01

    Survival of firms requires continuous search for new and a restructuring of the existing competitive advantages. These can come either from firms’ internal factors or from cooperation with the environment. Cooperation among firms commonly takes place through the formation of strategic alliances. However, such form of cooperation presents only one stage in the integration of business entities. In the long run, strategic alliances can cease to exist or transform into a higher form of associatio...

  10. Before you see it, you see its parts: evidence for feature encoding and integration in preschool children and adults.

    Science.gov (United States)

    Thompson, L A; Massaro, D W

    1989-07-01

    Preschool children and adults were compared in two experiments examining the basic issue of whether perceptual representations of objects are built-up from independent features along the dimensions of size and brightness. Experiment 1 was a visual search experiment. Subjects searched for targets which differed from distractors either by a single feature or by a conjunction of features. Results from preschoolers were comparable to those from adults, and were consistent with Treisman and Gelade's (1980, Cognitive Psychology, 12, 97-136) feature-integration theory of attention. Their theory states that independent features are encoded in parallel and are later combined with a spatial attention mechanism. However, children's significantly steeper conjunctive search slope indicated a slower speed of feature integration. In Experiment 2, four mathematical models of pattern recognition were tested against classification task data. The findings from both age groups were again consistent with a model assuming that size and brightness features are initially registered, and then integrated. Moreover, the data from Experiment 2 imply that perceptual growth entails small changes in the discriminability of featural representations; however, both experiments show that the operations performed on these representations are the same developmentally.

  11. Culturally adapting an evidence-based parenting intervention for Latino immigrants: the need to integrate fidelity and cultural relevance.

    Science.gov (United States)

    Parra Cardona, Jose Ruben; Domenech-Rodriguez, Melanie; Forgatch, Marion; Sullivan, Cris; Bybee, Deborah; Holtrop, Kendal; Escobar-Chew, Ana Rocio; Tams, Lisa; Dates, Brian; Bernal, Guillermo

    2012-03-01

    Latinos constitute the largest ethnic minority group in the United States. However, the cultural adaptation and dissemination of evidence-based parenting interventions among Latino populations continues to be scarce despite extensive research that demonstrates the long-term positive effects of these interventions. The purpose of this article is threefold: (1) justify the importance of cultural adaptation research as a key strategy to disseminate efficacious interventions among Latinos, (2) describe the initial steps of a program of prevention research with Latino immigrants aimed at culturally adapting an evidence-based intervention informed by parent management training principles, and (3) discuss implications for advancing cultural adaptation prevention practice and research, based on the initial feasibility and cultural acceptability findings of the current investigation. © FPI, Inc.

  12. Culturally Adapting an Evidence-Based Parenting Intervention for Latino Immigrants: The Need to Integrate Fidelity and Cultural Relevance1

    Science.gov (United States)

    Cardona, Jose Ruben Parra; Domenech-Rodriguez, Melanie; Forgatch, Marion; Sullivan, Cris; Bybee, Deborah; Holtrop, Kendal; Escobar-Chew, Ana Rocio; Tams, Lisa; Dates, Brian; Bernal, Guillermo

    2011-01-01

    Latinos constitute the largest ethnic minority group in the US. However, the cultural adaptation and dissemination of evidence-based parenting interventions among Latino populations continues to be scarce in spite of extensive research that demonstrates the long-term positive effects of these interventions. The purpose of this article is threefold: (a) justify the importance of cultural adaptation research as a key strategy to disseminate efficacious interventions among Latinos, (b) describe the initial steps of a program of prevention research with Latino immigrants aimed at culturally adapting an evidence-based intervention informed by parent management training (PMT) principles, and (c) discuss implications for advancing cultural adaptation prevention practice and research, based on the initial feasibility and cultural acceptability findings of the current investigation. PMID:22428711

  13. Evidence of Processing Non-Idealities in 4H-SiC Integrated Circuits Fabricated with Two Levels of Metal Interconnect

    Science.gov (United States)

    Spry, David J.; Neudeck, Philip G.; Liangyu, Chen; Evans, Laura J.; Lukco, Dorothy; Chang, Carl W.; Beheim, Glenn M.

    2015-01-01

    The fabrication and prolonged 500 C electrical testing of 4H-SiC junction field effect transistor (JFET) integrated circuits (ICs) with two levels of metal interconnect is reported in another submission to this conference proceedings. While some circuits functioned more than 1000 hours at 500 C, the majority of packaged ICs from this wafer electrically failed after less than 200 hours of operation in the same test conditions. This work examines the root physical degradation and failure mechanisms believed responsible for observed large discrepancies in 500 C operating time. Evidence is presented for four distinct issues that significantly impacted 500 C IC operational yield and lifetime for this wafer.

  14. FGF/FGFR Signaling Coordinates Skull Development by Modulating Magnitude of Morphological Integration: Evidence from Apert Syndrome Mouse Models

    Science.gov (United States)

    Martínez-Abadías, Neus; Heuzé, Yann; Wang, Yingli; Jabs, Ethylin Wang; Aldridge, Kristina; Richtsmeier, Joan T.

    2011-01-01

    The fibroblast growth factor and receptor system (FGF/FGFR) mediates cell communication and pattern formation in many tissue types (e.g., osseous, nervous, vascular). In those craniosynostosis syndromes caused by FGFR1-3 mutations, alteration of signaling in the FGF/FGFR system leads to dysmorphology of the skull, brain and limbs, among other organs. Since this molecular pathway is widely expressed throughout head development, we explore whether and how two specific mutations on Fgfr2 causing Apert syndrome in humans affect the pattern and level of integration between the facial skeleton and the neurocranium using inbred Apert syndrome mouse models Fgfr2+/S252W and Fgfr2+/P253R and their non-mutant littermates at P0. Skull morphological integration (MI), which can reflect developmental interactions among traits by measuring the intensity of statistical associations among them, was assessed using data from microCT images of the skull of Apert syndrome mouse models and 3D geometric morphometric methods. Our results show that mutant Apert syndrome mice share the general pattern of MI with their non-mutant littermates, but the magnitude of integration between and within the facial skeleton and the neurocranium is increased, especially in Fgfr2+/S252W mice. This indicates that although Fgfr2 mutations do not disrupt skull MI, FGF/FGFR signaling is a covariance-generating process in skull development that acts as a global factor modulating the intensity of MI. As this pathway evolved early in vertebrate evolution, it may have played a significant role in establishing the patterns of skull MI and coordinating proper skull development. PMID:22053191

  15. FGF/FGFR signaling coordinates skull development by modulating magnitude of morphological integration: evidence from Apert syndrome mouse models.

    Directory of Open Access Journals (Sweden)

    Neus Martínez-Abadías

    Full Text Available The fibroblast growth factor and receptor system (FGF/FGFR mediates cell communication and pattern formation in many tissue types (e.g., osseous, nervous, vascular. In those craniosynostosis syndromes caused by FGFR1-3 mutations, alteration of signaling in the FGF/FGFR system leads to dysmorphology of the skull, brain and limbs, among other organs. Since this molecular pathway is widely expressed throughout head development, we explore whether and how two specific mutations on Fgfr2 causing Apert syndrome in humans affect the pattern and level of integration between the facial skeleton and the neurocranium using inbred Apert syndrome mouse models Fgfr2(+/S252W and Fgfr2(+/P253R and their non-mutant littermates at P0. Skull morphological integration (MI, which can reflect developmental interactions among traits by measuring the intensity of statistical associations among them, was assessed using data from microCT images of the skull of Apert syndrome mouse models and 3D geometric morphometric methods. Our results show that mutant Apert syndrome mice share the general pattern of MI with their non-mutant littermates, but the magnitude of integration between and within the facial skeleton and the neurocranium is increased, especially in Fgfr2(+/S252W mice. This indicates that although Fgfr2 mutations do not disrupt skull MI, FGF/FGFR signaling is a covariance-generating process in skull development that acts as a global factor modulating the intensity of MI. As this pathway evolved early in vertebrate evolution, it may have played a significant role in establishing the patterns of skull MI and coordinating proper skull development.

  16. Lags from Money to Inflation in a Monetary Integrated Economy: Evidence from the Extreme Case of Puerto Rico

    Directory of Open Access Journals (Sweden)

    Carlos A. Rodríguez

    2007-09-01

    Full Text Available This paper examines the time-lenght of money growth's long and short run effect in affecting the rate of inflation in the context of an economy of extreme monetary integration. Money growth is measured as the rate of growth of Puerto Rico's consumer price index. By analyzing the case of Puerto Rico, we find that a dynamic expansion of money is reflected on prices immediately, but the unitary effect occurs approximately within ten quarters. In addition, the results show that local inflation is significantly influenced by its own past history and monetary policy, with the second having the greater effect.

  17. Computers in the Teaching of English as a Foreign Language: Access to the Diversity of Textual Genres and Language Skills

    Science.gov (United States)

    Dos Santos, Roberto-Márcio; Sobrinho, Jerônimo Coura

    In the area of language teaching both language skills and textual genres can be worked with simultaneously (thus responding to the Brazilian Curricular Parameters and to the trends in contemporary education, which emphasize contextualized teaching) by means of computers. Computers can make the teaching process dynamic and rich, since they enable the access to the foreign language through virtual environments, which creates a larger number of learning contexts, with all their specific vocabulary and linguistic features in real communication. This study focuses on possible applications of this kind of approach. The computer online is a resource of diverse textual genres and can be an important tool in the language classroom as well as an access to authentic material produced in contextualized practice close to real-life communication. On the other hand, all these materials must be appropriately used without ever worshipping the technology as if it were a miraculous solution. After all, the professional pedagogic skills of the teacher should never be forgotten or taken for granted. In this study, a series of interviews with teachers was carried out - both with Brazilian teachers of the public sector (basic education) and language institutes (private English courses) as well as teacher trainers (university professors), in order to verify if the teachers were prepared to work with informatics in teaching practices, and check the professionals’ views on the subject. The ideas of Maingueneau and Marcuschi about textual genres are a theoretical base in this work, besides the concept of cognitive economy. The text and its typology are focused here as the basic material for teaching English, through digital technologies and hypermedia. The study is also based on Sharma and Barrett’s notion of blended learning as a balanced combination of technological resources and traditional practices in the classroom. Thus, this is an attempt to investigate the relevance of

  18. Joint development of evidence-based medical record by doctors and patients through integrated Chinese and Western medicine on digestive system diseases.

    Science.gov (United States)

    Li, Bo; Gao, Hong-yang; Gao, Rui; Zhao, Ying-pan; Li, Qing-na; Zhao, Yang; Tang, Xu-dong; Shang, Hong-cai

    2016-02-01

    Building the clinical therapeutic evaluation system by combing the evaluation given by doctors and patients can form a more comprehensive and objective evaluation system. A literature search on the practice of evidence-based evaluation was conducted in key biomedical databases, i.e. PubMed, Excerpt Medica Database, China Biology Medicine disc and China National Knowledge Infrastructure. However, no relevant study on the subjects of interest was identified. Therefore, drawing on the principles of narrative medicine and expert opinion from systems of Chinese medicine and Western medicine, we propose to develop and pilot-test a novel evidence-based medical record format that captures the perspectives of both patients and doctors in a clinical trial. Further, we seek to evaluate a strategic therapeutic approach that integrates the wisdom of Chinese medicine with the scientific basis of Western medicine in the treatment of digestive system disorders. Evaluation of therapeutic efficacy of remedies under the system of Chinese medicine is an imperative ongoing research. The present study intends to identify a novel approach to assess the synergistic benefits achievable from an integrated therapeutic approach combining Chinese and Western system of medicine to treat digestive system disorders.

  19. El hipertexto en la Enseñanza Media en Chile: ¿Es pertinente aplicar los enfoques textuales tradicionales?

    OpenAIRE

    Teresa Ayala Pérez

    2012-01-01

    Los textos digitales constituyen parte importante de la comunicación en la sociedad de la información y recientemente han sido incluidos en los programas de Lenguaje y Comunicación de E.M. en Chile. Ante esta situación, cabe preguntarse si los tradicionales enfoques textuales, elaborados a partir del texto impreso en los años 70 y 80 y utilizados actualmente en Enseñanza Media, resultan aplicables al hipertexto. En este trabajo se describen algunos rasgos de este tipo de texto y se reflexiona...

  20. Integrating ethical values into fraud triangle theory in assessing employee fraud: Evidence from the Malaysian banking industry

    Directory of Open Access Journals (Sweden)

    Jamaliah Said

    2017-06-01

    Full Text Available This study attempts to integrate ethical values into the fraud triangle theory in the context of Malaysian banking industry. Primary data were collected through the survey of 108 questionnaires administered to the employees of the top three largest banks in Malaysia. The findings revealed that ethical values were negatively related to employee fraud, and two elements of fraud triangle theory, namely, opportunity and rationalization, were positively related to employee fraud. This implies that high ethical value is crucial to mitigate employee fraud. To minimize employee fraud, the banking industry should reduce opportunities and employee negative rationalization through strong internal control. This study contributes to literature on the occurrences of employee fraud, which is not widely discussed, especially in the context of the banking industry in developing countries.

  1. The integrated radio continuum spectrum of M33 - Evidence for free-free absorption by cool ionized gas

    Science.gov (United States)

    Israel, F. P.; Mahoney, M. J.; Howarth, N.

    1992-01-01

    We present measurements of the integrated radio continuum flux density of M33 at frequencies between 22 and 610 MHz and discuss the radio continuum spectrum of M33 between 22 MHz and 10 GHz. This spectrum has a turnover between 500 and 900 MHz, depending on the steepness of the high frequency radio spectrum of M33. Below 500 MHz the spectrum is relatively flat. We discuss possible mechanisms to explain this spectral shape and consider efficient free-free absorption of nonthermal emission by a cool (not greater than 1000 K) ionized gas to be a very likely possibility. The surface filling factor of both the nonthermal and the thermal material appears to be small (of order 0.001), which could be explained by magnetic field/density fluctuations in the M 33 interstellar medium. We briefly speculate on the possible presence of a nuclear radio source with a steep spectrum.

  2. El Sistema-inspired ensemble music training is associated with changes in children's neurocognitive functional integration: preliminary ERP evidence.

    Science.gov (United States)

    Hedayati, Nina; Schibli, Kylie; D'Angiulli, Amedeo

    2016-12-01

    Children (aged 9-12) training in an El Sistema-inspired program (OrKidstra) and a matched comparison group participated in an auditory Go/No-Go task while event-related potentials (ERPs) were recorded. Entire-sweep waveform patterns correlated with known ERP peaks associated with executive and other cognitive functions and indicated that the spread of neural activity in the initial 250 ms of executive attention processing (pre-P300) showed higher level of topographical overlap in OrKidstra children. In these children, late potentials (post-P300) concurrent with response control were more widely distributed and temporally coordinated. Intensive ensemble music training, we suggest, may be associated with neuroplastic changes facilitating integration of neural information.

  3. The search for co-integration between money, prices and income: Low frequency evidence from the Turkish economy

    Directory of Open Access Journals (Sweden)

    Saatçioğlu Cem

    2009-01-01

    Full Text Available In this paper, we aim to test the empirical validity of the QTM relationship for the Turkish economy. Using some contemporaneous time series estimation techniques, our estimation results reveal that stationarity characteristics of the velocities of currency in circulation and the broad money aggregate in the economy cannot be rejected through a quantity theoretical co-integrating long-term variable space. We find that there exists an about one-to-one proportionality between money and prices and money and real income, and that exogeneity of money cannot be rejected for the currency in circulation in the economy. But, the exception here comes from the broad monetary aggregate used in the QTM equation such that money seems to be endogenous as for the long-term variable space.

  4. A "weight of evidence" approach for the integration of environmental "triad" data to assess ecological risk and biological vulnerability.

    Science.gov (United States)

    Dagnino, Alessandro; Sforzini, Susanna; Dondero, Francesco; Fenoglio, Stefano; Bona, Elisa; Jensen, John; Viarengo, Aldo

    2008-07-01

    A new Expert Decision Support System (EDSS) that can integrate Triad data for assessing environmental risk and biological vulnerability at contaminated sites has been developed. Starting with ecosystem relevance, the EDSS assigns different weights to the results obtained from Triad disciplines. The following parameters have been employed: 1) chemical soil analyses (revealing the presence of potentially dangerous substances), 2) ecotoxicological bioassays (utilizing classical endpoints such as survival and reproduction rates), 3) biomarkers (showing sublethal pollutant effects), and 4) ecological parameters (assessing changes in community structure and functions). For each Triad discipline, the EDSS compares the data obtained at the studied field sites with reference values and calculates different 0-1 indexes (e.g., Chemical Risk Index, Ecotoxicological Risk Index, and Ecological Risk Index). The EDSS output consists of 3 indexes: 1) Environmental Risk index (EnvRI), quantifying the levels of biological damage at population-community level, 2) Biological Vulnerability Index (BVI), assessing the potential threats to biological equilibriums, and 3) Genotoxicity Index (GTI), screening genotoxicity effects. The EDSS has been applied in the integration of a battery of Triad data obtained during the European Union-funded Life Intervention in the Fraschetta Area (LINFA) project, which has been carried out in order to estimate the potential risk from soils of a highly anthropized area (Alessandria, Italy) mainly impacted by deposition of atmospheric pollutants. Results obtained during 4 seasonal sampling campaigns (2004-2005) show maximum values of EnvRI in sites A and B (characterized by industrial releases) and lower levels in site D (affected by vehicular traffic emissions). All 3 potentially polluted sites have shown high levels of BVI and GTI, suggesting a general change from reference conditions (site C).

  5. Integrated in situ characterization of molten salt catalyst surface: Evidence of sodium peroxide and OH radical formation

    KAUST Repository

    Takanabe, Kazuhiro; Khan, Abdulaziz M.; Tang, Yu; Nguyen, Luan; Ziani, Ahmed; Jacobs, Benjamin W; Elbaz, Ayman M.; Sarathy, S Mani; Tao, Franklin Feng

    2017-01-01

    Na-based catalysts (i.e., Na2WO4) were proposed to selectively catalyze OH radical formation from H2O and O2 at high temperatures. This reaction may proceed on molten salt state surfaces due to the lower melting point of the used Na salts compared to the reaction temperature. This study provides direct evidence of the molten salt state of Na2WO4, which can form OH radicals, using in situ techniques including X-ray diffraction (XRD), scanning transmission electron microscopy (STEM), laser induced fluorescence (LIF) spectrometer, and ambient-pressure X-ray photoelectron spectroscopy (AP-XPS). As a result, Na2O2 species, which were hypothesized to be responsible for the formation of OH radicals, has been identified on the outer surfaces at temperatures ≥800°C, and these species are useful for various gas-phase hydrocarbon reactions including the selective transformation of methane to ethane.

  6. Integrated in situ characterization of molten salt catalyst surface: Evidence of sodium peroxide and OH radical formation

    KAUST Repository

    Takanabe, Kazuhiro

    2017-06-26

    Na-based catalysts (i.e., Na2WO4) were proposed to selectively catalyze OH radical formation from H2O and O2 at high temperatures. This reaction may proceed on molten salt state surfaces due to the lower melting point of the used Na salts compared to the reaction temperature. This study provides direct evidence of the molten salt state of Na2WO4, which can form OH radicals, using in situ techniques including X-ray diffraction (XRD), scanning transmission electron microscopy (STEM), laser induced fluorescence (LIF) spectrometer, and ambient-pressure X-ray photoelectron spectroscopy (AP-XPS). As a result, Na2O2 species, which were hypothesized to be responsible for the formation of OH radicals, has been identified on the outer surfaces at temperatures ≥800°C, and these species are useful for various gas-phase hydrocarbon reactions including the selective transformation of methane to ethane.

  7. As funções dos tipos textuais no interior do gênero discurso de propaganda The functions of the textual types in the gender advertising speech

    Directory of Open Access Journals (Sweden)

    Waldivia Maria de Jesus

    2010-01-01

    Full Text Available Este artigo propõe refletir acerca do ensino de leitura e escrita pela abordagem de gêneros, com foco nas funções que os tipos textuais desempenham no interior do gênero discurso de propaganda. Reflete-se sobre problemas que envolvem a conceitualização de gênero textual / gênero de discurso, tipos textuais / formas textuais, com ênfase na definição de gênero mais adequada ao ensino. O corpus desses estudos constitui-se de uma peça publicitária veiculada no jornal Folha de S. Paulo. E as reflexões se ancoram no Funcionalismo (HALLIDAY, 1985, na Semântica Pragmática (VAN DIJK, 1978 e na Análise do Discurso (MAINGUENEAU, 2002.This article proposes a reflection about the teaching of reading and writing on the genre approach, focusing on the function that textual types play within the genre advertising discourse. It reflects on issues surrounding the conceptualization of textual genre / discourse genre, textual types / textual forms, observing the most appropriate definition of genre to teach mother language. The studied corpus is constituted by an advertising piece published in Folha de S. Paulo. And the reflections rest on the Functionalism (HALLIDAY, 1985, on the Semantic Pragmatic (VAN DIJK, 1979, on the Discourse Analysis (MAINGUENEAU, 2002.

  8. Evidence-Based Model of Integration of Regions for Ensuring Economic Security and Sustainable Development of the Russian Federation

    Directory of Open Access Journals (Sweden)

    Olga O. Smirnova

    2017-01-01

    Full Text Available Purpose: the main objective of preparation of article consists in formation of conceptual reasons for the new approach to administrative-territorial division of the Russian Federation corresponding to the relevant calls facing the country in the modern economic conditions. For achievement of this purpose in article the following research tasks are delivered and successfully solved: 1 to create new approach to administrative-territorial division of the Russian Federation on the basis of stability of her subjects; 2 to develop conceptual model of acceptance of the administrative decision on enlargement of regions by use of the modern methods of the quantitative and qualitative analysis of nature of regional development and a status of an economic security of the territory; 3 to define composition and structure of regional clusters, to give their characteristic in specific parametric space; 4 to develop recommendations about formation of administrative decisions on enlargement of regions taking into account specifics of development of the territories in a section of each cluster. Methods: by preparation of article general scientific methods of researches, such as systematization, generalization, cause-effect analysis and also receptions of the quantitative are used (hierarchical and iterative methods, statistic analysis and qualitative (methods of the spatial analysis, theory of image identification analysis. The new conceptual model based on synthesis of qualitative and quantitative methods of assessment of effectiveness of association of territories is developed for achievement of the goal of a research. According to the offered model making decision on association of the region is carried out in four steps. At the first stage justification of expediency of integration of territories is carried out and the general concept of association of regions is formed; at the second stage – holding a procedure of the cluster analysis and registration of

  9. Employing Model-Based Reasoning in Interdisciplinary Research Teams: Evidence-Based Practices for Integrating Knowledge Across Systems

    Science.gov (United States)

    Pennington, D. D.; Vincent, S.

    2017-12-01

    The NSF-funded project "Employing Model-Based Reasoning in Socio-Environmental Synthesis (EMBeRS)" has developed a generic model for exchanging knowledge across disciplines that is based on findings from the cognitive, learning, social, and organizational sciences addressing teamwork in complex problem solving situations. Two ten-day summer workshops for PhD students from large, NSF-funded interdisciplinary projects working on a variety of water issues were conducted in 2016 and 2017, testing the model by collecting a variety of data, including surveys, interviews, audio/video recordings, material artifacts and documents, and photographs. This presentation will introduce the EMBeRS model, the design of workshop activities based on the model, and results from surveys and interviews with the participating students. Findings suggest that this approach is very effective for developing a shared, integrated research vision across disciplines, compared with activities typically provided by most large research projects, and that students believe the skills developed in the EMBeRS workshops are unique and highly desireable.

  10. Integrating male sexual diversity into violence prevention efforts with men and boys: evidence from the Asia-Pacific Region.

    Science.gov (United States)

    Miedema, Stephanie S; Yount, Kathryn M; Chirwa, Esnat; Dunkle, Kristin; Fulu, Emma

    2017-02-01

    Men's perpetration of gender-based violence remains a global public health issue. Violence prevention experts call for engagement of boys and men to change social norms around masculinity in order to prevent gender-based violence. Yet, men do not comprise a homogenous category. Drawing on probability estimates of men who report same-sex practices and preferences captured in a multi-country gender-based violence prevention survey in the Asia-Pacific region, we test the effects of sexuality-related factors on men's adverse life experiences. We find that sexual minority men face statistically higher risk of lifetime adversity related to gender-based violence, stemming from gender inequitable norms in society. Sexuality is thus a key axis of differentiation among men in the Asia-Pacific region, influencing health and wellbeing and reflecting men's differential engagement with dominant norms of masculinity. Integrating awareness of male sexual diversity into gender-based violence prevention interventions, particularly those that work with boys and men, and bridging violence prevention programming between sexual minority communities and women, are essential to tackle the root drivers of violence.

  11. [The Common Risk Factor Approach - An Integrated Population- and Evidence-Based Approach for Reducing Social Inequalities in Oral Health].

    Science.gov (United States)

    Heilmann, A; Sheiham, A; Watt, R G; Jordan, R A

    2016-10-01

    Worldwide, non-communicable diseases including dental caries and periodontal diseases, remain a major public health problem. Moreover, there is a social gradient in health across society that runs from the top to the bottom in a linear, stepwise fashion. Health promoting behaviours become more difficult to sustain further down the social ladder. Oral health inequalities also exist in Germany. Earlier explanations of social inequalities have mainly focused on individual lifestyle factors, ignoring the broader social determinants of health and disease. Until recently, the dominant approaches to general health promotion focused on actions to reduce specific diseases, separating oral health from general health. An alternative approach is the common risk factor approach (CRFA) where risk factors common to a number of major chronic diseases, including diseases of the mouth and teeth, are tackled. The CRFA focuses on the common underlying determinants of health to improve the overall health of populations, thereby reducing social inequalities. The main implication of the CRFA for oral health policies is to work in partnership with a range of other sectors and disciplines. Oral health issues need to be integrated with recommendations to promote general health. Improvements in oral health and a reduction in oral health inequalities are more likely by working in partnership across sectors and disciplines using strategies that focus upstream on the underlying determinants of oral diseases. © Georg Thieme Verlag KG Stuttgart · New York.

  12. Integrating Norm Activation Model and Theory of Planned Behavior to Understand Sustainable Transport Behavior: Evidence from China.

    Science.gov (United States)

    Liu, Yuwei; Sheng, Hong; Mundorf, Norbert; Redding, Colleen; Ye, Yinjiao

    2017-12-18

    With increasing urbanization in China, many cities are facing serious environmental problems due to continuous and substantial increase in automobile transportation. It is becoming imperative to examine effective ways to reduce individual automobile use to facilitate sustainable transportation behavior. Empirical, theory-based research on sustainable transportation in China is limited. In this research, we propose an integrated model based on the norm activation model and the theory of planned behavior by combining normative and rational factors to predict individuals' intention to reduce car use. Data from a survey of 600 car drivers in China's three metropolitan areas was used to test the proposed model and hypotheses. Results showed that three variables, perceived norm of car-transport reduction, attitude towards reduction, and perceived behavior control over car-transport reduction, significantly affected the intention to reduce car-transport. Personal norms mediated the relationship between awareness of consequences of car-transport, ascription of responsibility of car-transport, perceived subjective norm for car-transport reduction, and intention to reduce car-transport. The results of this research not only contribute to theory development in the area of sustainable transportation behavior, but also provide a theoretical frame of reference for relevant policy-makers in urban transport management.

  13. Integrated cross-domain object storage in working memory: evidence from a verbal-spatial memory task.

    Science.gov (United States)

    Morey, Candice C

    2009-11-01

    Working-memory theories often include domain-specific verbal and visual stores (e.g., the phonological and visuospatial buffers of Baddeley, 1986), and some also posit more general stores thought to be capable of holding verbal or visuospatial materials (Baddeley, 2000; Cowan, 2005). However, it is currently unclear which type of store is primarily responsible for maintaining objects that include components from multiple domains. In these studies, a spatial array of letters was followed by a single probe identical to an item in the array or differing systematically in spatial location, letter identity, or their combination. Concurrent verbal rehearsal suppression impaired memory in each of these trial types in a task that required participants to remember verbal-spatial binding, but did not impair memory for spatial locations if the task did not require verbal-spatial binding for a correct response. Thus, spatial information might be stored differently when it must be bound to verbal information. This suggests that a cross-domain store such as the episodic buffer of Baddeley (2000) or the focus of attention of Cowan (2001) might be used for integrated object storage, rather than the maintenance of associations between features stored in separate domain-specific buffers.

  14. In Vivo Evidence of Reduced Integrity of the Gray-White Matter Boundary in Autism Spectrum Disorder.

    Science.gov (United States)

    Andrews, Derek Sayre; Avino, Thomas A; Gudbrandsen, Maria; Daly, Eileen; Marquand, Andre; Murphy, Clodagh M; Lai, Meng-Chuan; Lombardo, Michael V; Ruigrok, Amber N V; Williams, Steven C; Bullmore, Edward T; The Mrc Aims Consortium; Suckling, John; Baron-Cohen, Simon; Craig, Michael C; Murphy, Declan G M; Ecker, Christine

    2017-02-01

    Atypical cortical organization and reduced integrity of the gray-white matter boundary have been reported by postmortem studies in individuals with autism spectrum disorder (ASD). However, there are no in vivo studies that examine these particular features of cortical organization in ASD. Hence, we used structural magnetic resonance imaging to examine differences in tissue contrast between gray and white matter in 98 adults with ASD and 98 typically developing controls, to test the hypothesis that individuals with ASD have significantly reduced tissue contrast. More specifically, we examined contrast as a percentage between gray and white matter tissue signal intensities (GWPC) sampled at the gray-white matter boundary, and across different cortical layers. We found that individuals with ASD had significantly reduced GWPC in several clusters throughout the cortex (cluster, P gray-white matter interface, which indicates a less distinct gray-white matter boundary in ASD. Our in vivo findings of reduced GWPC in ASD are therefore consistent with prior postmortem findings of a less well-defined gray-white matter boundary in ASD. Taken together, these results indicate that GWPC might be utilized as an in vivo proxy measure of atypical cortical microstructural organization in future studies. © The Author 2017. Published by Oxford University Press.

  15. Integrating Norm Activation Model and Theory of Planned Behavior to Understand Sustainable Transport Behavior: Evidence from China

    Directory of Open Access Journals (Sweden)

    Yuwei Liu

    2017-12-01

    Full Text Available With increasing urbanization in China, many cities are facing serious environmental problems due to continuous and substantial increase in automobile transportation. It is becoming imperative to examine effective ways to reduce individual automobile use to facilitate sustainable transportation behavior. Empirical, theory-based research on sustainable transportation in China is limited. In this research, we propose an integrated model based on the norm activation model and the theory of planned behavior by combining normative and rational factors to predict individuals’ intention to reduce car use. Data from a survey of 600 car drivers in China’s three metropolitan areas was used to test the proposed model and hypotheses. Results showed that three variables, perceived norm of car-transport reduction, attitude towards reduction, and perceived behavior control over car-transport reduction, significantly affected the intention to reduce car-transport. Personal norms mediated the relationship between awareness of consequences of car-transport, ascription of responsibility of car-transport, perceived subjective norm for car-transport reduction, and intention to reduce car-transport. The results of this research not only contribute to theory development in the area of sustainable transportation behavior, but also provide a theoretical frame of reference for relevant policy-makers in urban transport management.

  16. High Resolution Integral Field Spectroscopy of Europa's Sodium Clouds: Evidence for a Component with Origins in Iogenic Plasma.

    Science.gov (United States)

    Schmidt, C.; Johnson, R. E.; Mendillo, M.; Baumgardner, J. L.; Moore, L.; O'Donoghue, J.; Leblanc, F.

    2015-12-01

    With the object of constraining Iogenic contributions and identifying drivers for variability, we report new observations of neutral sodium in Europa's exosphere. An R~20000 integral field spectrograph at McDonald Observatory is used to generate Doppler maps of sodium cloud structures with a resolution of 2.8 km/s/pixel. In the five nights of observations since 2011, measurements on UT 6.15-6.31 May 2015 uniquely feature fast (10s of km/s) neutral sodium clouds extending nearly 100 Europa radii, more distant than in any previous findings. During these measurements, the satellite geometry was favorable for the transfer of Na from Io to Europa, located at 1:55 to 4:00 and 3:38 to 4:39 Jovian local time, respectively. Eastward emission (away from Jupiter) extends 10-20 Europa radii retaining the moon's rest velocity, while westward emission blue-shifts with distance, and a broad range of velocities are measured, reaching at least 70 km/s at 80 Europa radii. These cloud features are distinct from Io's "banana" and "stream" features, the distant Jupiter-orbiting nebula, and from terrestrial OH and Na contaminant emissions. Io's production was quiescent during this observation, following an extremely active phase in February 2015. These results are consistent with previous findings that Europa's Na exosphere has peak emission between midnight and dawn Jovian local time and support the idea that sodium escape from Io can significantly enhance the emission intensity measured at Europa.

  17. Patience, persistence and pragmatism: experiences and lessons learnt from the implementation of clinically integrated teaching and learning of evidence-based health care - a qualitative study.

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    Taryn Young

    Full Text Available Clinically integrated teaching and learning are regarded as the best options for improving evidence-based healthcare (EBHC knowledge, skills and attitudes. To inform implementation of such strategies, we assessed experiences and opinions on lessons learnt of those involved in such programmes.We conducted semi-structured interviews with 24 EBHC programme coordinators from around the world, selected through purposive sampling. Following data transcription, a multidisciplinary group of investigators carried out analysis and data interpretation, using thematic content analysis. Successful implementation of clinically integrated teaching and learning of EBHC takes much time. Student learning needs to start in pre-clinical years with consolidation, application and assessment following in clinical years. Learning is supported through partnerships between various types of staff including the core EBHC team, clinical lecturers and clinicians working in the clinical setting. While full integration of EBHC learning into all clinical rotations is considered necessary, this was not always achieved. Critical success factors were pragmatism and readiness to use opportunities for engagement and including EBHC learning in the curriculum; patience; and a critical mass of the right teachers who have EBHC knowledge and skills and are confident in facilitating learning. Role modelling of EBHC within the clinical setting emerged as an important facilitator. The institutional context exerts an important influence; with faculty buy-in, endorsement by institutional leaders, and an EBHC-friendly culture, together with a supportive community of practice, all acting as key enablers. The most common challenges identified were lack of teaching time within the clinical curriculum, misconceptions about EBHC, resistance of staff, lack of confidence of tutors, lack of time, and negative role modelling.Implementing clinically integrated EBHC curricula requires institutional

  18. Patience, Persistence and Pragmatism: Experiences and Lessons Learnt from the Implementation of Clinically Integrated Teaching and Learning of Evidence-Based Health Care – A Qualitative Study

    Science.gov (United States)

    Young, Taryn; Rohwer, Anke; van Schalkwyk, Susan; Volmink, Jimmy; Clarke, Mike

    2015-01-01

    Background Clinically integrated teaching and learning are regarded as the best options for improving evidence-based healthcare (EBHC) knowledge, skills and attitudes. To inform implementation of such strategies, we assessed experiences and opinions on lessons learnt of those involved in such programmes. Methods and Findings We conducted semi-structured interviews with 24 EBHC programme coordinators from around the world, selected through purposive sampling. Following data transcription, a multidisciplinary group of investigators carried out analysis and data interpretation, using thematic content analysis. Successful implementation of clinically integrated teaching and learning of EBHC takes much time. Student learning needs to start in pre-clinical years with consolidation, application and assessment following in clinical years. Learning is supported through partnerships between various types of staff including the core EBHC team, clinical lecturers and clinicians working in the clinical setting. While full integration of EBHC learning into all clinical rotations is considered necessary, this was not always achieved. Critical success factors were pragmatism and readiness to use opportunities for engagement and including EBHC learning in the curriculum; patience; and a critical mass of the right teachers who have EBHC knowledge and skills and are confident in facilitating learning. Role modelling of EBHC within the clinical setting emerged as an important facilitator. The institutional context exerts an important influence; with faculty buy-in, endorsement by institutional leaders, and an EBHC-friendly culture, together with a supportive community of practice, all acting as key enablers. The most common challenges identified were lack of teaching time within the clinical curriculum, misconceptions about EBHC, resistance of staff, lack of confidence of tutors, lack of time, and negative role modelling. Conclusions Implementing clinically integrated EBHC curricula

  19. INTEGRATING CHEMICAL AND BIOLOGICAL STATUS ASSESSMENT: ASSEMBLING LINES OF EVIDENCE FOR THE EVALUATION OF RIVER ECOSYSTEM RISK

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    Isabel Muñoz Gracia

    2014-01-01

    Full Text Available Este trabajo describe diferentes aproximaciones para la evaluación del riesgo ecológico en ríos afectados por múltiple contaminación química, con énfasis en la respuesta de las comunidades del biofilm e invertebrados bentónicos. Las métricas descritas se considerarían como diferentes líneas de evidencia que convenientemente ponderadas formarían un sistema de decisión ("weight of evidence" para establecer el riesgo ambiental a escala de cuenca. La combinación de trabajo de campo para obtener datos de la comunidad biológica, experimentos in situ, test de exposición en sedimentos, y una buena caracterización química del medio (agua y sedimento, ayuda a tener un resultado integrado del estado biológico y químico del ecosistema fluvial. Cuantas más variables se incorporen, mejor se identificarán los efectos de las presiones químicas en el deterioro de la comunidad. Esta es una metodología integradora que permite abordar el reto de determinar las relaciones causales y aplicar este conocimiento en el proceso de toma de decisión en la gestión de las cuencas fluviales.

  20. STAR CLUSTERS IN M31. V. EVIDENCE FOR SELF-ENRICHMENT IN OLD M31 CLUSTERS FROM INTEGRATED SPECTROSCOPY

    International Nuclear Information System (INIS)

    Schiavon, Ricardo P.; Caldwell, Nelson; Conroy, Charlie; Graves, Genevieve J.; Strader, Jay; MacArthur, Lauren A.; Courteau, Stéphane; Harding, Paul

    2013-01-01

    In the past decade, the notion that globular clusters (GCs) are composed of coeval stars with homogeneous initial chemical compositions has been challenged by growing evidence that they host an intricate stellar population mix, likely indicative of a complex history of star formation and chemical enrichment. Several models have been proposed to explain the existence of multiple stellar populations in GCs, but no single model provides a fully satisfactory match to existing data. Correlations between chemistry and global parameters such as cluster mass or luminosity are fundamental clues to the physics of GC formation. In this Letter, we present an analysis of the mean abundances of Fe, Mg, C, N, and Ca for 72 old GCs from the Andromeda galaxy. We show for the first time that there is a correlation between the masses of GCs and the mean stellar abundances of nitrogen, spanning almost two decades in mass. This result sheds new light on the formation of GCs, providing important constraints on their internal chemical evolution and mass loss history

  1. Hacia una biblioteca electrónica textual del teatro en español de 1868-1936 (BETTE

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    José Calvo Tello

    2015-12-01

    Full Text Available http://dx.doi.org/10.5007/1807-9288.2015v11n2p171 En este artículo se presenta el proyecto BETTE que consiste en la creación de una biblioteca electrónica textual del teatro en español de 1868-1936. Este proyecto lo lleva a cabo el grupo GHEDI (Grupo de Humanidades y edición digital de la Universidad Internacional de la Rioja (UNIR. El texto presenta un breve panorama de los cambios introducidos por el impacto de lo digital en el ámbito de la edición textual y  ofrece un estado de la cuestión de los proyectos que actualmente desarrollan las bibliotecas electrónicas que utilizan XML-TEI para codificar textos electrónicos. Asimismo, en él se presta atención  a los llamados lenguajes de marcado y se presentan algunas características de TEI (Text Encoding Initiative. Finalmente, se describen las particularidades de nuestro proyecto, objetivos y primeros avances.

  2. Hacia una didáctica de la composición textual en la escuela infantil y primaria

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    Margarita CASANUEVA HERNÁNDEZ

    2009-11-01

    Full Text Available RESUMEN: Parece urgente la necesidad de una didáctica del texto para ser aplicada en la enseñanza de la lengua en la Escuela, que tenga en cuenta el actual enfoque comunicativo, en el que se concibe al discurso como el nivel de desarrollo real y no teórico del lenguaje, y en el que, en este sentido, coinciden tres tipos de relaciones: semánticas, gramaticales (incluyendo los niveles de morfema, sintagma y oración y pragmáticas. Es de esperar que el nuevo planteamiento palie, en gran medida, problemas relativos a la comprensión y expresión oral y escrita, tales como la coherencia en la composición textual y la ortografía, que afectan a todos los niveles de enseñanza.ABSTRACT: There is a need for text instructions that keep in mind the actual communicative focus to be applied in the teaching of language in Elementary Schools in which the discourse is conceived as a level of real development and not a theoretical one thereby linking three relationships: semantic, grammatical (including levels of morphemes, syntagm and sentence and pragmatic. It is hoped that this new suggestion will greatly mitigate, those problems related to oral and written comprehension and expression such as coherence in a textual context and spelling, which affect all levels of teaching.

  3. Real-Time Prediction of Observed Action Requires Integrity of the Dorsal Premotor Cortex: Evidence From Repetitive Transcranial Magnetic Stimulation.

    Science.gov (United States)

    Brich, Louisa F M; Bächle, Christine; Hermsdörfer, Joachim; Stadler, Waltraud

    2018-01-01

    Studying brain mechanisms underlying the prediction of observed action, the dorsal premotor cortex (PMd) has been suggested a key area. The present study probed this notion using repetitive transcranial magnetic stimulation (rTMS) to test whether interference in this area would affect the accuracy in predicting the time course of object directed actions performed with the right hand. Young and healthy participants observed actions in short videos. These were briefly occluded from view for 600 ms and resumed immediately afterwards. The task was to continue the action mentally and to indicate after each occlusion, whether the action was resumed at the right moment (condition in-time) or shifted. In a first run, single-pulse transcranial magnetic stimulation (sTMS) was delivered over the left primary hand-area during occlusion. In the second run, rTMS over the left PMd was applied during occlusion in half of the participants [experimental group (EG)]. The control group (CG) received sham-rTMS over the same area. Under rTMS, the EG predicted less trials correctly than in the sTMS run. Sham-rTMS in the CG had no effects on prediction. The interference in PMd interacted with the type of manipulation applied to the action's time course occasionally during occlusion. The performance decrease of the EG was most pronounced in conditions in which the continuations after occlusions were too late in the action's course. The present results extend earlier findings suggesting that real-time action prediction requires the integrity of the PMd. Different functional roles of this area are discussed. Alternative interpretations consider either simulation of specific motor programming functions or the involvement of a feature-unspecific predictor.

  4. Real-Time Prediction of Observed Action Requires Integrity of the Dorsal Premotor Cortex: Evidence From Repetitive Transcranial Magnetic Stimulation

    Directory of Open Access Journals (Sweden)

    Louisa F. M. Brich

    2018-03-01

    Full Text Available Studying brain mechanisms underlying the prediction of observed action, the dorsal premotor cortex (PMd has been suggested a key area. The present study probed this notion using repetitive transcranial magnetic stimulation (rTMS to test whether interference in this area would affect the accuracy in predicting the time course of object directed actions performed with the right hand. Young and healthy participants observed actions in short videos. These were briefly occluded from view for 600 ms and resumed immediately afterwards. The task was to continue the action mentally and to indicate after each occlusion, whether the action was resumed at the right moment (condition in-time or shifted. In a first run, single-pulse transcranial magnetic stimulation (sTMS was delivered over the left primary hand-area during occlusion. In the second run, rTMS over the left PMd was applied during occlusion in half of the participants [experimental group (EG]. The control group (CG received sham-rTMS over the same area. Under rTMS, the EG predicted less trials correctly than in the sTMS run. Sham-rTMS in the CG had no effects on prediction. The interference in PMd interacted with the type of manipulation applied to the action’s time course occasionally during occlusion. The performance decrease of the EG was most pronounced in conditions in which the continuations after occlusions were too late in the action’s course. The present results extend earlier findings suggesting that real-time action prediction requires the integrity of the PMd. Different functional roles of this area are discussed. Alternative interpretations consider either simulation of specific motor programming functions or the involvement of a feature-unspecific predictor.

  5. Exploring the Textual Metafunction in a Biblical-Fictional Parable in Ngũgĩ wa Thiong’o’s Devil on the Cross

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    Yémalo C. Amoussou

    2016-09-01

    Full Text Available This paper explores the textual metafunctional patterns in two fictional versions of a Biblical Parable in Ngũgĩ wa Thiong’o’s novel Devil on the Cross (1982 in order to find the similarities and differences between their compositional features. It critically draws on the theory of systemic functional linguistics expounded by specialists like Halliday (1994, Halliday and Matthiessen (2004 and Eggins (2004 to overview the theoretical background to the study, with focus on the grammar of textual meaning, proposes a new Theme classification and uses it to analyze the Thematic structure and taxis system of the two extracts. The researcher has come to the conclusion that, though they are initially spoken, these texts show such interesting textual-meaning properties as the density of ellipsis, of circumstantial and interpersonal thematization, of taxis and rank shift that they should be qualified to belong to both spoken and written mode of discourse.

  6. Integração financeira e crescimento econômico: teoria, evidência e política Financial integration and economic growth: theory, evidence and policy

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    Aderbal Oliveira Damasceno

    2012-12-01

    Full Text Available Este trabalho desenvolve uma análise teórica e empírica sobre as relações entre integração financeira e crescimento econômico. Utilizando dados para 105 países durante o período 1980-2004, serão estimadas equações de crescimento especificadas na forma de um modelo dinâmico de dados em painel. A análise da literatura teórica explicita a fragilidade do arcabouço teórico que fundamenta a hipótese de que a integração financeira estimula o crescimento econômico de longo prazo. As evidências econométricas apresentadas não corroboram a hipótese de que a integração financeira estimula o crescimento econômico de longo prazo mesmo em países com alto nível de desenvolvimento institucional, de desenvolvimento financeiro, de abertura comercial, de estabilidade macroeconômica e de flexibilidade do regime cambial. Esses resultados questionam os fundamentos subjacentes às recomendações de políticas para eliminação de controles de capitais.This paper develops a theoretical and empirical analysis regarding the relationship between financial integration and long-run economic growth. Using data for a sample of 105 countries over the period 1980-2004, will be estimated growth equations specified in the form of a dynamic panel data model. The theoretical literature analysis clarifies the fragility of the theoretical framework that fundaments the hypothesis that financial integration stimulates long-run economic growth. The econometrical evidences presented do not corroborate the hypothesis that financial integration stimulates the long-run economic growth, even for countries with high levels of institutional development, of financial development, of trade openness, of macroeconomic stability and of exchange rate arrangement flexibility. These results question the rationale underlying the policy recommendations for the elimination of capital controls.

  7. MannDB – A microbial database of automated protein sequence analyses and evidence integration for protein characterization

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    Kuczmarski Thomas A

    2006-10-01

    Full Text Available Abstract Background MannDB was created to meet a need for rapid, comprehensive automated protein sequence analyses to support selection of proteins suitable as targets for driving the development of reagents for pathogen or protein toxin detection. Because a large number of open-source tools were needed, it was necessary to produce a software system to scale the computations for whole-proteome analysis. Thus, we built a fully automated system for executing software tools and for storage, integration, and display of automated protein sequence analysis and annotation data. Description MannDB is a relational database that organizes data resulting from fully automated, high-throughput protein-sequence analyses using open-source tools. Types of analyses provided include predictions of cleavage, chemical properties, classification, features, functional assignment, post-translational modifications, motifs, antigenicity, and secondary structure. Proteomes (lists of hypothetical and known proteins are downloaded and parsed from Genbank and then inserted into MannDB, and annotations from SwissProt are downloaded when identifiers are found in the Genbank entry or when identical sequences are identified. Currently 36 open-source tools are run against MannDB protein sequences either on local systems or by means of batch submission to external servers. In addition, BLAST against protein entries in MvirDB, our database of microbial virulence factors, is performed. A web client browser enables viewing of computational results and downloaded annotations, and a query tool enables structured and free-text search capabilities. When available, links to external databases, including MvirDB, are provided. MannDB contains whole-proteome analyses for at least one representative organism from each category of biological threat organism listed by APHIS, CDC, HHS, NIAID, USDA, USFDA, and WHO. Conclusion MannDB comprises a large number of genomes and comprehensive protein

  8. An ALMA study of the Orion Integral Filament. I. Evidence for narrow fibers in a massive cloud

    Science.gov (United States)

    Hacar, A.; Tafalla, M.; Forbrich, J.; Alves, J.; Meingast, S.; Grossschedl, J.; Teixeira, P. S.

    2018-03-01

    Aim. We have investigated the gas organization within the paradigmatic Integral Shape Filament (ISF) in Orion in order to decipher whether or not all filaments are bundles of fibers. Methods: We combined two new ALMA Cycle 3 mosaics with previous IRAM 30m observations to produce a high-dynamic range N2H+ (1-0) emission map of the ISF tracing its high-density material and velocity structure down to scales of 0.009 pc (or 2000 AU). Results: From the analysis of the gas kinematics, we identify a total of 55 dense fibers in the central region of the ISF. Independently of their location in the cloud, these fibers are characterized by transonic internal motions, lengths of 0.15 pc, and masses per unit length close to those expected in hydrostatic equilibrium. The ISF fibers are spatially organized forming a dense bundle with multiple hub-like associations likely shaped by the local gravitational potential. Within this complex network, the ISF fibers show a compact radial emission profile with a median FWHM of 0.035 pc systematically narrower than the previously proposed universal 0.1 pc filament width. Conclusions: Our ALMA observations reveal complex bundles of fibers in the ISF, suggesting strong similarities between the internal substructure of this massive filament and previously studied lower-mass objects. The fibers show identical dynamic properties in both low- and high-mass regions, and their widespread detection in nearby clouds suggests a preferred organizational mechanism of gas in which the physical fiber dimensions (width and length) are self-regulated depending on their intrinsic gas density. Combining these results with previous works in Musca, Taurus, and Perseus, we identify a systematic increase of the surface density of fibers as a function of the total mass per-unit-length in filamentary clouds. Based on this empirical correlation, we propose a unified star-formation scenario where the observed differences between low- and high-mass clouds, and the

  9. A natureza argumentativa dos processos inferenciais preditivos na compreensão textual The argumentative nature of the predictive inferencial processes of the textual comprehension

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    Tícia Cassiany Ferro Cavalcante

    2012-04-01

    Full Text Available No presente estudo, propõe-se que a inferência de predição é um processo cognitivo/discursivo de natureza eminentemente argumentativa. Partindo desta proposta teórica, o estudo empírico relatado teve como objetivo investigar, de forma processual, a produção de inferências preditivas por parte de sete estudantes universitários no curso de uma leitura individualmente realizada (compreensão online. A perspectiva metodológica adotada foi a do estudo de casos em série, em cada um dos quais o participante foi solicitado a responder, em voz audível, a questões formuladas à medida que lia uma crônica. A análise de dados realizada, de natureza notadamente qualitativa e processual, evidencia a natureza essencialmente argumentativa das inferências preditivas produzidas.The present study argues that a prediction inference is a cognitive/discursive process fundamentally of argumentative nature. From this theoretical premise, this empirical study investigated, in a procedural manner, the production of predictive inferences by seven university students, using individual readings (online comprehension. The methodology used was that of case studies in series, in each of which the participant was asked to answer, aloud, questions formulated while he/she was reading a story. The analysis of the data, notably of qualitative and procedural nature, makes evident the essentially argumentative nature of the predictive inferences produced.

  10. The Evolution of Consciousness as a Planetary Imperative:An Integration of Integral Views

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    Jennifer Gidley

    2007-12-01

    Full Text Available In this article I aim to broaden and deepen the evolution of consciousnessdiscourse by integrating the integral theoretic narratives of Rudolf Steiner, Jean Gebser,and Ken Wilber, who each point to the emergence of new ways of thinking that couldaddress the complex, critical challenges of our planetary moment. I undertake a widescan of the evolution discourse, noting it is dominantly limited to biology-based notionsof human origins that are grounded in scientific materialism. I then broaden the discourseby introducing integral evolutionary theories using a transdisciplinary epistemology towork between, across and beyond diverse disciplines. I note the conceptual breadth ofWilber's integral evolutionary narrative in transcending both scientism andepistemological isolationism. I also draw attention to some limitations of Wilber’sintegral project, notably his undervaluing of Gebser's actual text, and the substantialomission of the pioneering contribution of Steiner, who, as early as 1904 wroteextensively about the evolution of consciousness, including the imminent emergence of anew stage. I enact a deepening of integral evolutionary theory by honoring the significantyet undervalued theoretic components of participation/enactment and aesthetics/artistryvia Steiner and Gebser, as a complement to Wilber. To this end, I undertake an in-depthhermeneutic dialogue between their writings utilizing theoretic bricolage, a multi-modemethodology that weaves between and within diverse and overlapping perspectives. Thehermeneutic methodology emphasizes interpretive textual analysis with the aim ofdeepening understanding of the individual works and the relationships among them. Thisanalysis is embedded in an epic but pluralistic narrative that spans the entire human storythrough various previous movements of consciousness, arriving at a new emergence atthe present time. I also discuss the relationship between these narratives andcontemporary academic literature

  11. Towards an integrative model of visual short-term memory maintenance: Evidence from the effects of attentional control, load, decay, and their interactions in childhood.

    Science.gov (United States)

    Shimi, Andria; Scerif, Gaia

    2017-12-01

    Over the past decades there has been a surge of research aiming to shed light on the nature of capacity limits to visual short-term memory (VSTM). However, an integrative account of this evidence is currently missing. We argue that investigating parameters constraining VSTM in childhood suggests a novel integrative model of VSTM maintenance, and that this in turn informs mechanisms of VSTM maintenance in adulthood. Over 3 experiments with 7-year-olds and young adults (total N=206), we provide evidence for multiple cognitive processes interacting to constrain VSTM performance. While age-related increases in storage capacity are undisputable, we replicate the finding that attentional processes control what information will be encoded and maintained in VSTM in the face of increased competition. Therefore, a central process to the current model is attentional refreshment, a mechanism that it is thought to reactivate and strengthen the signal of the visual representations. Critically, here we also show that attentional influences on VSTM are further constrained by additional factors, traditionally studied to the exclusion of each other, such as memory load and temporal decay. We propose that these processes work synergistically in an elegant manner to capture the adult-end state, whereas their less refined efficiency and modulations in childhood account for the smaller VSTM capacity that 7-year-olds demonstrate compared to older individuals. We conclude that going beyond the investigation of single cognitive mechanisms, to their interactions, holds the promise to understand both developing and fully developed maintenance in VSTM. Copyright © 2017 Elsevier B.V. All rights reserved.

  12. An Integrated Decision-Making Model for Transformer Condition Assessment Using Game Theory and Modified Evidence Combination Extended by D Numbers

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    Lingjie Sun

    2016-08-01

    Full Text Available The power transformer is one of the most critical and expensive components for the stable operation of the power system. Hence, how to obtain the health condition of transformer is of great importance for power utilities. Multi-attribute decision-making (MADM, due to its ability of solving multi-source information problems, has become a quite effective tool to evaluate the health condition of transformers. Currently, the analytic hierarchy process (AHP and Dempster–Shafer theory are two popular methods to solve MADM problems; however, these techniques rarely consider one-sidedness of the single weighting method and the exclusiveness hypothesis of the Dempster–Shafer theory. To overcome these limitations, this paper introduces a novel decision-making model, which integrates the merits of fuzzy set theory, game theory and modified evidence combination extended by D numbers, to evaluate the health condition of transformers. A four-level framework, which includes three factors and seventeen sub-factors, is put forward to facilitate the evaluation model. The model points out the following: First, the fuzzy set theory is employed to obtain the original basic probability assignments for all indices. Second, the subjective and objective weights of indices, which are calculated by fuzzy AHP and entropy weight, respectively, are integrated to generate the comprehensive weights based on game theory. Finally, based on the above two steps, the modified evidence combination extended by D numbers, which avoids the limitation of the exclusiveness hypothesis in the application of Dempster–Shafer theory, is proposed to obtain the final assessment results of transformers. Case studies are given to demonstrate the proposed modeling process. The results show the effectiveness and engineering practicability of the model in transformer condition assessment.

  13. Developing a conceptual framework of urban health observatories toward integrating research and evidence into urban policy for health and health equity.

    Science.gov (United States)

    Caiaffa, W T; Friche, A A L; Dias, M A S; Meireles, A L; Ignacio, C F; Prasad, A; Kano, M

    2014-02-01

    Detailed information on health linked to geographic, sociodemographic, and environmental data are required by city governments to monitor health and the determinants of health. These data are critical for guiding local interventions, resource allocation, and planning decisions, yet they are too often non-existent or scattered. This study aimed to develop a conceptual framework of Urban Health Observatories (UHOs) as an institutional mechanism which can help synthesize evidence and incorporate it into urban policy-making for health and health equity. A survey of a select group of existent UHOs was conducted using an instrument based on an a priori conceptual framework of key structural and functional characteristics of UHOs. A purposive sample of seven UHOs was surveyed, including four governmental, two non-governmental, and one university-based observatory, each from a different country. Descriptive and framework analysis methods were used to analyze the data and to refine the conceptual framework in light of the empirical data. The UHOs were often a product of unique historical circumstances. They were relatively autonomous and capable of developing their own locally sensitive agenda. They often had strong networks for accessing data and were able to synthesize them at the urban level as well as disaggregate them into smaller units. Some UHOs were identified as not only assessing but also responding to local needs. The findings from this study were integrated into a conceptual framework which illustrates how UHOs can play a vital role in monitoring trends in health determinants, outcomes, and equity; optimizing an intersectoral urban information system; incorporating research on health into urban policies and systems; and providing technical guidance on research and evidence-based policy making. In order to be most effective, UHOs should be an integral part of the urban governance system, where multiple sectors of government, the civil society, and businesses can

  14. Patterns and trends of postpartum family planning in Ethiopia, Malawi, and Nigeria: evidence of missed opportunities for integration

    Science.gov (United States)

    Hounton, Sennen; Winfrey, William; Barros, Aluisio J. D.; Askew, Ian

    2015-01-01

    , variation in postpartum use of modern contraception was not affected over the years by age or marital status. One contrast to this is in Ethiopia, where the data show a significant increase in uptake of postpartum contraception among adolescents from 2005 to 2011. There are systematic and pervasive equity issues in the use of modern postpartum family planning by education level, place of residence, and wealth quintile, especially in Ethiopia where the gaps are very large. Disaggregation of data also point to significant sub-national variations. After adjusting for socio-economic variables, the most consistent health sector services associated with modern postpartum contraception are institutional childbirth and child immunisation. ANC is less likely to be associated with the use of modern postpartum family planning. Conclusion Postpartum use of modern family planning has remained very low over the years, including for childbearing adolescents. Our results indicate that improving postpartum family planning requires policies and strategies to address the inequalities caused by socio-economic factors and the integration of family planning with maternal and newborn health services, particularly with childbirth in facilities and child immunisation. Scaling up systematic screening, training of providers, and generation of demand are some possible ways forward. PMID:26562144

  15. Patterns and trends of postpartum family planning in Ethiopia, Malawi, and Nigeria: evidence of missed opportunities for integration

    Directory of Open Access Journals (Sweden)

    Sennen Hounton

    2015-11-01

    . Results: Overall, variation in postpartum use of modern contraception was not affected over the years by age or marital status. One contrast to this is in Ethiopia, where the data show a significant increase in uptake of postpartum contraception among adolescents from 2005 to 2011. There are systematic and pervasive equity issues in the use of modern postpartum family planning by education level, place of residence, and wealth quintile, especially in Ethiopia where the gaps are very large. Disaggregation of data also point to significant sub-national variations. After adjusting for socio-economic variables, the most consistent health sector services associated with modern postpartum contraception are institutional childbirth and child immunisation. ANC is less likely to be associated with the use of modern postpartum family planning. Conclusion: Postpartum use of modern family planning has remained very low over the years, including for childbearing adolescents. Our results indicate that improving postpartum family planning requires policies and strategies to address the inequalities caused by socio-economic factors and the integration of family planning with maternal and newborn health services, particularly with childbirth in facilities and child immunisation. Scaling up systematic screening, training of providers, and generation of demand are some possible ways forward.

  16. The priming of priming: Evidence that the N400 reflects context-dependent post-retrieval word integration in working memory.

    Science.gov (United States)

    Steinhauer, Karsten; Royle, Phaedra; Drury, John E; Fromont, Lauren A

    2017-06-09

    Which cognitive processes are reflected by the N400 in ERPs is still controversial. Various recent articles (Lau et al., 2008; Brouwer et al., 2012) have revived the idea that only lexical pre-activation processes (such as automatic spreading activation, ASA) are strongly supported, while post-lexical integrative processes are not. Challenging this view, the present ERP study replicates a behavioral study by McKoon and Ratcliff (1995) who demonstrated that a prime-target pair such as finger - hand shows stronger priming when a majority of other pairs in the list share the analogous semantic relationship (here: part-whole), even at short stimulus onset asynchronies (250ms). We created lists with four different types of semantic relationship (synonyms, part-whole, category-member, and opposites) and compared priming for pairs in a consistent list with those in an inconsistent list as well as unrelated items. Highly significant N400 reductions were found for both relatedness priming (unrelated vs. inconsistent) and relational priming (inconsistent vs. consistent). These data are taken as strong evidence that N400 priming effects are not exclusively carried by ASA-like mechanisms during lexical retrieval but also include post-lexical integration in working memory. We link the present findings to a neurocomputational model for relational reasoning (Knowlton et al., 2012) and to recent discussions of context-dependent conceptual activations (Yee and Thompson-Schill, 2016). Copyright © 2017 Elsevier B.V. All rights reserved.

  17. Integrating evidence-based treatments for common mental disorders in routine primary care: feasibility and acceptability of the MANAS intervention in Goa, India.

    Science.gov (United States)

    Chatterjee, Sudipto; Chowdhary, Neerja; Pednekar, Sulochana; Cohen, Alex; Andrew, Gracy; Andrew, Gracy; Araya, Ricardo; Simon, Gregory; King, Michael; Telles, Shirley; Verdeli, Helena; Clougherty, Kathleen; Kirkwood, Betty; Patel, Vikram

    2008-02-01

    Common mental disorders, such as depression and anxiety, pose a major public health burden in developing countries. Although these disorders are thought to be best managed in primary care settings, there is a dearth of evidence about how this can be achieved in low resource settings. The MANAS project is an attempt to integrate an evidence based package of treatments into routine public and private primary care settings in Goa, India. Before initiating the trial, we carried out extensive preparatory work, over a period of 15 months, to examine the feasibility and acceptability of the planned intervention. This paper describes the systematic development and evaluation of the intervention through this preparatory phase. The preparatory stage, which was implemented in three phases, utilized quantitative and qualitative methods to inform our understanding of the potential problems and possible solutions in implementing the trial and led to critical modifications of the original intervention plan. Investing in systematic formative work prior to conducting expensive trials of the effectiveness of complex interventions is a useful exercise which potentially improves the likelihood of a positive result of such trials.

  18. Integrating themes, evidence gaps, and research needs identified by workshop on iron screening and supplementation in iron-replete pregnant women and young children.

    Science.gov (United States)

    Brannon, Patsy M; Stover, Patrick J; Taylor, Christine L

    2017-12-01

    This report addresses the evidence and the uncertainties, knowledge gaps, and research needs identified by participants at the NIH workshop related to iron screening and routine iron supplementation of largely iron-replete pregnant women and young children (6-24 mo) in developed countries. The workshop presentations and panel discussions focused on current understanding and knowledge gaps related to iron homeostasis, measurement of and evidence for iron status, and emerging concerns about supplementing iron-replete members of these vulnerable populations. Four integrating themes emerged across workshop presentations and discussion and centered on 1 ) physiologic or developmental adaptations of iron homeostasis to pregnancy and early infancy, respectively, and their implications, 2 ) improvement of the assessment of iron status across the full continuum from iron deficiency anemia to iron deficiency to iron replete to iron excess, 3 ) the linkage of iron status with health outcomes beyond hematologic outcomes, and 4 ) the balance of benefit and harm of iron supplementation of iron-replete pregnant women and young children. Research that addresses these themes in the context of the full continuum of iron status is needed to inform approaches to the balancing of benefits and harms of screening and routine supplementation. © 2017 American Society for Nutrition.

  19. Treatment of severe fluoroacetamide poisoning in patient with combined multiple organ dysfunction syndrome by evidence-based integrated Chinese and Western medicines: A case report.

    Science.gov (United States)

    Wen, Wanxin; Gao, Hongxia; Kang, Nini; Lu, Aili; Qian, Caiwen; Zhao, Yuanqi

    2017-07-01

    Fluoroacetamide poisoning is the acute and severe disease of human, which leads to nervous, digestive, and cardiovascular system damage or even death in a short period of time. We report a case of a 65-year-old woman with loss of consciousness, nausea, and vomiting who was sent to the hospital by passers-by. She was diagnosed with severe fluoroacetamide poisoning with combined multiple organ dysfunction syndrome. When the diagnosis was unclear, we gave gastric lavage, support and symptomatic treatment, and closely with the vital sign. When the diagnosis was clear, based on the evidence of retrieved, muscle injection of acetamide, calcium gluconate, and vitamin C. Traditional Chinese medicine aspect, oral administration of mung bean soup of glycyrrhizae and Da-Cheng-Qi decoction enema. By setting reasonable treatment for patients, she had no special discomfort and complications after treatment. Besides, through 1-month follow-up, it was confirmed that the treatments were effective. Evidence-based integrated Chinese and Western medicines can effectively improve the therapeutic effects in severe fluoroacetamide-poisoned patients with combined MODS.

  20. A clinically integrated curriculum in Evidence-based Medicine for just-in-time learning through on-the-job training: The EU-EBM project

    Directory of Open Access Journals (Sweden)

    Horvath Andrea R

    2007-11-01

    Full Text Available Abstract Background Over the last years key stake holders in the healthcare sector have increasingly recognised evidence based medicine (EBM as a means to improving the quality of healthcare. However, there is considerable uncertainty about the best way to disseminate basic knowledge of EBM. As a result, huge variation in EBM educational provision, setting, duration, intensity, content, and teaching methodology exists across Europe and worldwide. Most courses for health care professionals are delivered outside the work context ('stand alone' and lack adaptation to the specific needs for EBM at the learners' workplace. Courses with modern 'adaptive' EBM teaching that employ principles of effective continuing education might fill that gap. We aimed to develop a course for post-graduate education which is clinically integrated and allows maximum flexibility for teachers and learners. Methods A group of experienced EBM teachers, clinical epidemiologists, clinicians and educationalists from institutions from eight European countries participated. We used an established methodology of curriculum development to design a clinically integrated EBM course with substantial components of e-learning. An independent European steering committee provided input into the process. Results We defined explicit learning objectives about knowledge, skills, attitudes and behaviour for the five steps of EBM. A handbook guides facilitator and learner through five modules with clinical and e-learning components. Focussed activities and targeted assignments round off the learning process, after which each module is formally assessed. Conclusion The course is learner-centred, problem-based, integrated with activities in the workplace and flexible. When successfully implemented, the course is designed to provide just-in-time learning through on-the-job-training, with the potential for teaching and learning to directly impact on practice.

  1. A clinically integrated curriculum in evidence-based medicine for just-in-time learning through on-the-job training: the EU-EBM project.

    Science.gov (United States)

    Coppus, Sjors F P J; Emparanza, Jose I; Hadley, Julie; Kulier, Regina; Weinbrenner, Susanne; Arvanitis, Theodoros N; Burls, Amanda; Cabello, Juan B; Decsi, Tamas; Horvath, Andrea R; Kaczor, Marcin; Zanrei, Gianni; Pierer, Karin; Stawiarz, Katarzyna; Kunz, Regina; Mol, Ben W J; Khan, Khalid S

    2007-11-27

    Over the last years key stake holders in the healthcare sector have increasingly recognised evidence based medicine (EBM) as a means to improving the quality of healthcare. However, there is considerable uncertainty about the best way to disseminate basic knowledge of EBM. As a result, huge variation in EBM educational provision, setting, duration, intensity, content, and teaching methodology exists across Europe and worldwide. Most courses for health care professionals are delivered outside the work context ('stand alone') and lack adaptation to the specific needs for EBM at the learners' workplace. Courses with modern 'adaptive' EBM teaching that employ principles of effective continuing education might fill that gap. We aimed to develop a course for post-graduate education which is clinically integrated and allows maximum flexibility for teachers and learners. A group of experienced EBM teachers, clinical epidemiologists, clinicians and educationalists from institutions from eight European countries participated. We used an established methodology of curriculum development to design a clinically integrated EBM course with substantial components of e-learning. An independent European steering committee provided input into the process. We defined explicit learning objectives about knowledge, skills, attitudes and behaviour for the five steps of EBM. A handbook guides facilitator and learner through five modules with clinical and e-learning components. Focussed activities and targeted assignments round off the learning process, after which each module is formally assessed. The course is learner-centred, problem-based, integrated with activities in the workplace and flexible. When successfully implemented, the course is designed to provide just-in-time learning through on-the-job-training, with the potential for teaching and learning to directly impact on practice.

  2. Assessing the quality, efficacy, and effectiveness of the current evidence base of active self-care complementary and integrative medicine therapies for the management of chronic pain: a rapid evidence assessment of the literature.

    Science.gov (United States)

    Delgado, Roxana; York, Alexandra; Lee, Courtney; Crawford, Cindy; Buckenmaier, Chester; Schoomaker, Eric; Crawford, Paul

    2014-04-01

    Chronic pain management typically consists of prescription medications or provider-based, behavioral, or interventional procedures that are often ineffective, may be costly, and can be associated with undesirable side effects. Because chronic pain affects the whole person (body, mind, and spirit), patient-centered complementary and integrative medicine (CIM) therapies that acknowledge the patients' roles in their own healing processes have the potential to provide more efficient and comprehensive chronic pain management. Active self-care CIM (ACT-CIM) therapies allow for a more diverse, patient-centered treatment of complex symptoms, promote self-management, and are relatively safe and cost-effective. To date, there are no systematic reviews examining the full range of ACT-CIM used for chronic pain symptom management. A systematic review was conducted, using Samueli Institute's Rapid Evidence Assessment of the Literature methodology, to rigorously assess both the quality of the research on ACT-CIM modalities and the evidence for their efficacy and effectiveness in treating chronic pain symptoms. A working group of subject matter experts was also convened to evaluate the overall literature pool and develop recommendations for the use and implementation of these modalities. Following key database searches, 146 randomized controlled trials were included in the review. This article provides an introduction and background to the review, summarizes the methodological processes involved, details the initial results, and identifies strengths and weakness of the review. Specific results of the review as well as overall recommendations for moving this field of research forward are detailed throughout the current Pain Medicine supplement. Wiley Periodicals, Inc.

  3. The Tres Tabernae archeological site (Cisterna di Latina, Italy: new evidence revealed through an integrated geophysical investigation

    Directory of Open Access Journals (Sweden)

    Lili Cafarella

    2010-06-01

    Full Text Available «Mercator» (Medocc, INTERREG IIIB is a European project that is aimed at a detailed investigation of the historical and archeological heritage of the Mediterranean area. Within this project, broad research is being financed regarding the importance of the development of the main ancient merchant routes in this region. These various tasks include this integrated geophysical survey at the Tres Tabernae site, an ancient statio along the Appian way (close to Latina, central Italy. This was carried out using several techniques that are focused on the identification of buried archeological remains. The main goal of this investigation was to cover the area surrounding this partially excavated site to obtain a quick, but meaningful, result relating to the presence of interesting buried features. For this, the geophysical techniques involved were frequency-domain electromagnetic induction, ground-penetrating radar, and magnetometry. To obtain the best results, these methods were optimized, taking into account the kind of structures involved and their relation to the environmental context. The combination of these different geophysical techniques shows good results, indicating the possible presence of new buried structures, such as walls, floors and a lead pipe.

  1. Visualizing information across multidimensional post-genomic structured and textual databases.

    Science.gov (United States)

    Tao, Ying; Friedman, Carol; Lussier, Yves A

    2005-04-15

    Visualizing relationships among biological information to facilitate understanding is crucial to biological research during the post-genomic era. Although different systems have been developed to view gene-phenotype relationships for specific databases, very few have been designed specifically as a general flexible tool for visualizing multidimensional genotypic and phenotypic information together. Our goal is to develop a method for visualizing multidimensional genotypic and phenotypic information and a model that unifies different biological databases in order to present the integrated knowledge using a uniform interface. We developed a novel, flexible and generalizable visualization tool, called PhenoGenesviewer (PGviewer), which in this paper was used to display gene-phenotype relationships from a human-curated database (OMIM) and from an automatic method using a Natural Language Processing tool called BioMedLEE. Data obtained from multiple databases were first integrated into a uniform structure and then organized by PGviewer. PGviewer provides a flexible query interface that allows dynamic selection and ordering of any desired dimension in the databases. Based on users' queries, results can be visualized using hierarchical expandable trees that present views specified by users according to their research interests. We believe that this method, which allows users to dynamically organize and visualize multiple dimensions, is a potentially powerful and promising tool that should substantially facilitate biological research. PhenogenesViewer as well as its support and tutorial are available at http://www.dbmi.columbia.edu/pgviewer/ Lussier@dbmi.columbia.edu.

  2. Structure and dynamics of European sports science textual contents: Analysis of ECSS abstracts (1996-2014).

    Science.gov (United States)

    Hristovski, Robert; Aceski, Aleksandar; Balague, Natalia; Seifert, Ludovic; Tufekcievski, Aleksandar; Cecilia, Aguirre

    2017-02-01

    The article discusses general structure and dynamics of the sports science research content as obtained from the analysis of 21998 European College of Sport Science abstracts belonging to 12 science topics. The structural analysis showed intertwined multidisciplinary and unifying tendencies structured along horizontal (scope) and vertical (level) axes. Methodological (instrumental and mode of inquiry) integrative tendencies are dominant. Theoretical integrative tendencies are much less detectable along both horizontal and vertical axes. The dynamic analysis of written abstracts text content over the 19 years reveals the contextualizing and guiding role of thematic skeletons of each sports science topic in forming more detailed contingent research ideas and the role of the latter in stabilizing and procreating the former. This circular causality between both hierarchical levels and functioning on separate characteristic time scales is crucial for understanding how stable research traditions self-maintain and self-procreate through innovative contingencies. The structure of sports science continuously rebuilds itself through use and re-use of contingent research ideas. The thematic skeleton ensures its identity and the contingent conceptual sets its flexibility and adaptability to different research or applicative problems.

  3. A Mobile Phone App Intervention Targeting Fruit and Vegetable Consumption: The Efficacy of Textual and Auditory Tailored Health Information Tested in a Randomized Controlled Trial.

    Science.gov (United States)

    Elbert, Sarah Pietertje; Dijkstra, Arie; Oenema, Anke

    2016-06-10

    Mobile phone apps are increasingly used to deliver health interventions, which provide the opportunity to present health information via different communication modes. However, scientific evidence regarding the effects of such health apps is scarce. In a randomized controlled trial, we tested the efficacy of a 6-month intervention delivered via a mobile phone app that communicated either textual or auditory tailored health information aimed at stimulating fruit and vegetable intake. A control condition in which no health information was given was added. Perceived own health and health literacy were included as moderators to assess for which groups the interventions could possibly lead to health behavior change. After downloading the mobile phone app, respondents were exposed monthly to either text-based or audio-based tailored health information and feedback over a period of 6 months via the mobile phone app. In addition, respondents in the control condition only completed the baseline and posttest measures. Within a community sample (online recruitment), self-reported fruit and vegetable intake at 6-month follow-up was our primary outcome measure. In total, 146 respondents (ranging from 40 to 58 per condition) completed the study (attrition rate 55%). A significant main effect of condition was found on fruit intake (P=.049, partial η(2)=0.04). A higher fruit intake was found after exposure to the auditory information, especially in recipients with a poor perceived own health (P=.003, partial η(2)=0.08). In addition, health literacy moderated the effect of condition on vegetable intake 6 months later (Pmobile health app. The app seems to have the potential to change fruit and vegetable intake up to 6 months later, at least for specific groups. We found different effects for fruit and vegetable intake, respectively, suggesting that different underlying psychological mechanisms are associated with these specific behaviors. Based on our results, it seems worthwhile

  4. Results of an Integrative Analysis: A Call for Contextualizing HIV and AIDS Clinical Practice Guidelines to Support Evidence-Based Practice.

    Science.gov (United States)

    Edwards, Nancy; Kahwa, Eulalia; Hoogeveen, Katie

    2017-12-01

    Practice guidelines aim to improve the standard of care for people living with HIV/AIDS. Successfully implementing guidelines requires tailoring them to populations served and to social and organizational influences on care. To examine dimensions of context, which nurses and midwives described as having a significant impact on their care of patients living with HIV/AIDS in Kenya, Uganda, South Africa, and Jamaica and to determine whether HIV/AIDS guidelines include adaptations congruent with these dimensions of context. Two sets of data were used. The first came from a qualitative study. In-depth interviews were conducted with purposively selected nurses, midwives, and nurse managers from 21 districts in four study countries. A coding framework was iteratively developed and themes inductively identified. Context dimensions were derived from these themes. A second data set of published guidelines for HIV/AIDS care was then assembled. Guidelines were identified through Google and PubMed searches. Using a deductive integrative analysis approach, text related to context dimensions was extracted from guidelines and categorized into problem and strategy statements. Ninety-six individuals participated in qualitative interviews. Four discrete dimensions of context were identified: health workforce adequacy, workplace exposure risk, workplace consequences for nurses living with HIV/AIDS, and the intersection of work and family life. Guidelines most often acknowledged health human resource constraints and presented mitigation strategies to offset them, and least often discussed workplace consequences and the intersections of family and work life. Guidelines should more consistently acknowledge diverse implementation contexts, propose how recommendations can be adapted to these realities, and suggest what role frontline healthcare providers have in realizing the structural changes necessary for healthier work environments and better patient care. Guideline recommendations

  5. Integrating molecular mechanisms and clinical evidence in the management of trastuzumab resistant or refractory HER-2⁺ metastatic breast cancer.

    Science.gov (United States)

    Wong, Hilda; Leung, Roland; Kwong, Ava; Chiu, Joanne; Liang, Raymond; Swanton, Charles; Yau, Thomas

    2011-01-01

    Human epidermal growth factor receptor (HER)-2(+) breast cancer is a distinct molecular and clinical entity, the prognosis of which is improved by trastuzumab. However, primary resistance to trastuzumab is observed in >50% of patients with HER-2(+) advanced breast cancer, and the majority of patients who initially respond to treatment eventually develop disease progression. To facilitate crosstrial comparisons and the understanding of resistance mechanisms, we propose a unifying definition of trastuzumab resistance as progression at first radiological reassessment at 8-12 weeks or within 3 months after first-line trastuzumab in the metastatic setting or new recurrences diagnosed during or within 12 months after adjuvant trastuzumab. In contrast, we define trastuzumab-refractory breast cancer as disease progression after two or more lines of trastuzumab-containing regimens that initially achieved disease response or stabilization at first radiological assessment. We review mechanisms of trastuzumab resistance mediated by p95HER-2 overexpression, phosphoinositide 3-kinase pathway activation, and signaling pathway activation driven by HER-3, epidermal growth factor receptor, and insulin-like growth factor 1 receptor. We distinguish in vitro from in vivo evidence, highlighting that most data describing trastuzumab resistance are derived from preclinical studies or small retrospective patient cohorts, and discuss targeted therapeutic approaches to overcome resistance. Prospective analysis through clinical trials with robust tissue collection procedures, prior to and following acquisition of resistance, integrated with next-generation tumor genome sequencing technologies, is identified as a priority area for development. The identification of predictive biomarkers is of paramount importance to optimize health economic costs and enhance stratification of anti-HER-2 targeted therapies.

  6. Does the integration of TB medical services in the general hospital improve the quality of TB care? Evidence from a case study in China.

    Science.gov (United States)

    Sun, Qiang; Yin, Jia; Yin, Xiao; Zou, Guanyang; Liang, Mingli; Zhong, Jieming; Walley, John; Wei, Xiaolin

    2013-06-01

    Moving the clinical services from tuberculosis (TB) dispensary to the integrated county hospital (called integrated approach) has been practiced in China; however, it is unknown the quality of TB care in the integrated approach and in the dispensary approach. A total of 202 new TB patients were investigated using structured questionnaires in three counties implementing the integrated approach and one county implementing the dispensary approach. The quality of TB care is measured based on success rate of treatment, medical expenditure, health system delay and second-line drug use. The integrated approach showed a high success treatment rate. The medical expenditure in the integrated approach was USD 432, significantly lower than that in the dispensary approach (Z = -5.771, P < 0.001). The integrated approach had a shorter health system delay (5 days) than the dispensary approach (32 days). Twenty-six percent of patients in integrated hospitals were prescribed with second-line TB drugs, significantly lower than that in the TB dispensary (47%, χ(2) = 7.452, P = 0.006). However, the medical expenditure, use of second-line anti-TB drug and liver-protection drugs indeed varied greatly across the three integrated hospitals. The integrated approach showed better quality of TB care, but the performance of the integrated hospitals varied greatly. A method to standardize TB treatment and management of this approach is urgent.

  7. Estratégias de leitura e compreensão textual em universitários

    Directory of Open Access Journals (Sweden)

    Lucicleide Maria de Cantalice

    Full Text Available O objetivo deste estudo foi explorar a compreensão textual em universitários e o uso das estratégias metacognitivas de leitura, considerando a faixa etária dos mesmos. Cento e dez universitários (110 do curso de psicologia de uma universidade privada paulista participaram da investigação. Foram utilizados uma escala de estratégias metacognitivas de leitura e um texto de 250 vocábulos preparado segundo a técnica de Cloze em sua versão tradicional, cuja característica é a omissão de todos os quintos vocábulos do texto. A aplicação foi coletiva naqueles estudantes que consentiram participar. Os dados foram submetidos à estatística inferencial e evidenciaram relação estatisticamente significativa entre a pontuação na escala de estratégias metacognitivas de leitura e os escores do Cloze. Foi possível também evidenciar diferenças na pontuação na compreensão em leitura dos estudantes, considerando a faixa etária dos mesmos.

  8. Didactic implications of the history of science in Physics Education: a literature review through discursive textual analysis

    Directory of Open Access Journals (Sweden)

    Edmundo Rodrigues Junior

    2015-10-01

    Full Text Available This work presents a literature review of the educational implications of the history of science in the teaching of Physics in the period 2010 to 2014. The technique used to analyze the data was the discursive textual analysis with the categories defined a priori. These categories include different teaching strategies for the teaching of history of science in Physics classes such as the use of primary or original sources, historical case studies, science through drama activities, historical experiments, biographies and /or autobiographies of scientists and the content analysis of the history of science present in textbooks. The result showed that 36 articles of 1659 available in journals use these teaching strategies. The results of the interpretative step consisted in the production of six metatexts in which two learning objectives were identified: the first one is related to physical concepts and the second one in aspects related to understanding the Nature of Science. The evaluation tools used by the authors to assess the students’ knowledge were identified in our corpus too.

  9. Exploratory analysis of textual data from the Mother and Child Handbook using the text-mining method: Relationships with maternal traits and post-partum depression.

    Science.gov (United States)

    Matsuda, Yoshio; Manaka, Tomoko; Kobayashi, Makiko; Sato, Shuhei; Ohwada, Michitaka

    2016-06-01

    The aim of the present study was to examine the possibility of screening apprehensive pregnant women and mothers at risk for post-partum depression from an analysis of the textual data in the Mother and Child Handbook by using the text-mining method. Uncomplicated pregnant women (n = 58) were divided into two groups according to State-Trait Anxiety Inventory grade (high trait [group I, n = 21] and low trait [group II, n = 37]) or Edinburgh Postnatal Depression Scale score (high score [group III, n = 15] and low score [group IV, n = 43]). An exploratory analysis of the textual data from the Maternal and Child Handbook was conducted using the text-mining method with the Word Miner software program. A comparison of the 'structure elements' was made between the two groups. The number of structure elements extracted by separated words from text data was 20 004 and the number of structure elements with a threshold of 2 or more as an initial value was 1168. Fifteen key words related to maternal anxiety, and six key words related to post-partum depression were extracted. The text-mining method is useful for the exploratory analysis of textual data obtained from pregnant woman, and this screening method has been suggested to be useful for apprehensive pregnant women and mothers at risk for post-partum depression. © 2016 Japan Society of Obstetrics and Gynecology.

  10. Exploratory analysis of textual data from the Mother and Child Handbook using a text mining method (II): Monthly changes in the words recorded by mothers.

    Science.gov (United States)

    Tagawa, Miki; Matsuda, Yoshio; Manaka, Tomoko; Kobayashi, Makiko; Ohwada, Michitaka; Matsubara, Shigeki

    2017-01-01

    The aim of the study was to examine the possibility of converting subjective textual data written in the free column space of the Mother and Child Handbook (MCH) into objective information using text mining and to compare any monthly changes in the words written by the mothers. Pregnant women without complications (n = 60) were divided into two groups according to State-Trait Anxiety Inventory grade: low trait anxiety (group I, n = 39) and high trait anxiety (group II, n = 21). Exploratory analysis of the textual data from the MCH was conducted by text mining using the Word Miner software program. Using 1203 structural elements extracted after processing, a comparison of monthly changes in the words used in the mothers' comments was made between the two groups. The data was mainly analyzed by a correspondence analysis. The structural elements in groups I and II were divided into seven and six clusters, respectively, by cluster analysis. Correspondence analysis revealed clear monthly changes in the words used in the mothers' comments as the pregnancy progressed in group I, whereas the association was not clear in group II. The text mining method was useful for exploratory analysis of the textual data obtained from pregnant women, and the monthly change in the words used in the mothers' comments as pregnancy progressed differed according to their degree of unease. © 2016 Japan Society of Obstetrics and Gynecology.

  11. Evaluating the effects of massed and distributed practice on acquisition and maintenance of tacts and textual behavior with typically developing children.

    Science.gov (United States)

    Haq, Shaji S; Kodak, Tiffany

    2015-01-01

    This study evaluated the effects of massed and distributed practice on the acquisition of tacts and textual behavior in typically developing children. We compared the effects of massed practice (i.e., consolidating all practice opportunities during the week into a single session) and distributed practice (i.e., distributing all practice opportunities across 4 sessions during the week) on the acquisition of textual behavior in English, tacting pictures of common nouns in Spanish, and textual behavior in Spanish using an adapted alternating treatments design embedded within a multiple probe design. We also examined correct responding during probes that (a) excluded prompts and reinforcement and (b) occurred 48 hr after training each week. The results indicated that distributed practice was the more efficient training format. Maintenance data collected up to 4 weeks after training also indicated that the participants consistently displayed higher levels of correct responding to targets that had been trained in distributed format. We discuss implications for practice and potential areas for future research. © Society for the Experimental Analysis of Behavior.

  12. An integrated system for physical protection

    International Nuclear Information System (INIS)

    Kumar, Ranajit

    2001-01-01

    An Integrated Physical Protection System (IPPS) was developed for the consolidation of all sub systems, sensors and elements related to physical protection for an efficient and effective security environment of a facility. An effective physical protection system discharges the functions of detection, delay, communication, response, access control etc. IPPS performs, controls and monitors all the above functionality and helps in taking quick action on occurrence of unusual incidents by instantly reporting the incident in easily understandable audio, video, graphical and textual format and also by initiating automatic interactions among sub-systems

  13. Training, supervision and quality of care in selected integrated community case management (iCCM) programmes: A scoping review of programmatic evidence.

    Science.gov (United States)

    Bosch-Capblanch, Xavier; Marceau, Claudine

    2014-12-01

    To describe the training, supervision and quality of care components of integrated Community Case Management (iCCM) programmes and to draw lessons learned from existing evaluations of those programmes. Scoping review of reports from 29 selected iCCM programmes purposively provided by stakeholders containing any information relevant to understand quality of care issues. The number of people reached by iCCM programmes varied from the tens of thousands to more than a million. All programmes aimed at improving access of vulnerable populations to health care, focusing on the main childhood illnesses, managed by Community Health Workers (CHW), often selected bycommunities. Training and supervision were widely implemented, in different ways and intensities, and often complemented with tools (eg, guides, job aids), supplies, equipment and incentives. Quality of care was measured using many outcomes (eg, access or appropriate treatment). Overall, there seemed to be positive effects for those strategies that involved policy change, organisational change, standardisation of clinical practices and alignment with other programmes. Positive effects were mostly achieved in large multi-component programmes. Mild or no effects have been described on mortality reduction amongst the few programmes for which data on this outcome was available to us. Promising strategies included teaming-up of CHW, micro-franchising or social franchising. On-site training and supervision of CHW have been shown to improve clinical practices. Effects on caregivers seemed positive, with increases in knowledge, care seeking behaviour, or caregivers' basic disease management. Evidence on iCCM is often of low quality, cannot relate specific interventions or the ways they are implemented with outcomes and lacks standardisation; this limits the capacity to identify promising strategies to improve quality of care. Large, multi-faceted, iCCM programmes, with strong components of training, supervision, which

  14. No Evidence That Short-Term Cognitive or Physical Training Programs or Lifestyles Are Related to Changes in White Matter Integrity in Older Adults at Risk of Dementia.

    Science.gov (United States)

    Fissler, Patrick; Müller, Hans-Peter; Küster, Olivia C; Laptinskaya, Daria; Thurm, Franka; Woll, Alexander; Elbert, Thomas; Kassubek, Jan; von Arnim, Christine A F; Kolassa, Iris-Tatjana

    2017-01-01

    Cognitive and physical activities can benefit cognition. However, knowledge about the neurobiological mechanisms underlying these activity-induced cognitive benefits is still limited, especially with regard to the role of white matter integrity (WMI), which is affected in cognitive aging and Alzheimer's disease. To address this knowledge gap, we investigated the immediate and long-term effects of cognitive or physical training on WMI, as well as the association between cognitive and physical lifestyles and changes in WMI over a 6-month period. Additionally, we explored whether changes in WMI underlie activity-related cognitive changes, and estimated the potential of both trainings to improve WMI by correlating training outcomes with WMI. In an observational and interventional pretest, posttest, 3-month follow-up design, we assigned 47 community-dwelling older adults at risk of dementia to 50 sessions of auditory processing and working memory training ( n = 13), 50 sessions of cardiovascular, strength, coordination, balance and flexibility exercises ( n = 14), or a control group ( n = 20). We measured lifestyles trough self-reports, cognitive training skills through training performance, functional physical fitness through the Senior Fitness Test, and global cognition through a cognitive test battery. WMI was assessed via a composite score of diffusion tensor imaging-based fractional anisotropy (FA) of three regions of interest shown to be affected in aging and Alzheimer's disease: the genu of corpus callosum, the fornix, and the hippocampal cingulum. Effects for training interventions on FA outcomes, as well as associations between lifestyles and changes in FA outcomes were not significant. Additional analyses did show associations between cognitive lifestyle and global cognitive changes at the posttest and the 3-month follow-up (β ≥ 0.40, p ≤ 0.02) and accounting for changes in WMI did not affect these relationships. The targeted training outcomes were

  15. Training, supervision and quality of care in selected integrated community case management (iCCM) programmes: A scoping review of programmatic evidence

    Science.gov (United States)

    Bosch–Capblanch, Xavier; Marceau, Claudine

    2014-01-01

    Aim To describe the training, supervision and quality of care components of integrated Community Case Management (iCCM) programmes and to draw lessons learned from existing evaluations of those programmes. Methods Scoping review of reports from 29 selected iCCM programmes purposively provided by stakeholders containing any information relevant to understand quality of care issues. Results The number of people reached by iCCM programmes varied from the tens of thousands to more than a million. All programmes aimed at improving access of vulnerable populations to health care, focusing on the main childhood illnesses, managed by Community Health Workers (CHW), often selected bycommunities. Training and supervision were widely implemented, in different ways and intensities, and often complemented with tools (eg, guides, job aids), supplies, equipment and incentives. Quality of care was measured using many outcomes (eg, access or appropriate treatment). Overall, there seemed to be positive effects for those strategies that involved policy change, organisational change, standardisation of clinical practices and alignment with other programmes. Positive effects were mostly achieved in large multi–component programmes. Mild or no effects have been described on mortality reduction amongst the few programmes for which data on this outcome was available to us. Promising strategies included teaming–up of CHW, micro–franchising or social franchising. On–site training and supervision of CHW have been shown to improve clinical practices. Effects on caregivers seemed positive, with increases in knowledge, care seeking behaviour, or caregivers’ basic disease management. Evidence on iCCM is often of low quality, cannot relate specific interventions or the ways they are implemented with outcomes and lacks standardisation; this limits the capacity to identify promising strategies to improve quality of care. Conclusion Large, multi–faceted, iCCM programmes, with strong

  16. Linguistic Levels of Translation: A Generic Exploration of Translation Difficulties in Literary Textual Corpus

    Directory of Open Access Journals (Sweden)

    Magda Madkour

    2016-11-01

    Social Sciences (SPSS, and qualitative data depended on the software NVivo. The results of data analysis indicated a correlation between using cognitive teaching methodology and students’ performance in literary translation. The themes that emerged from the qualitative analysis referred to topics related to causes of  translation problems, including lack of experience in the field of literary translation; weakness in literary translation skills; and challenges in interpreting literary devices and eloquence. Data analysis revealed that these problems were due to using traditional teaching methods that were based on giving lectures and direct instructions, and rote learning. The emergent themes concerning ways of resolving these problems include the importance of employing cognitive methods to stimulate students’ creative abilities, and motivate them to improve their analytical and critical thinking.  The discussions, presented in the literature review of the present study, focus on five issues: the linguistics levels of literary translation; the characteristics of literary texts; the problems of translating literary texts; the main principles of the cognitive method which makes it appropriate for teaching literary translation; and the relationship between literary translation theories, cognition, and creativity. The research recommendations highlight the importance of bridging the gap between translation theory and practice to provide strategies for solving the problems of translating literary texts. The recommendations also include the procedures for integrating Newmark’s translation theory into cognitive taxonomies to enhance students’ knowledge, and help them acquire refined skills for translating literary texts efficiently.

  17. O USO DE ESTRATÉGIAS METACOGNITIVAS COMO SUPORTE À COMPREENSÃO TEXTUAL .THE USE OF METACOGNITIVE STRATEGIES SUPPORTING READING COMPREHENSION

    Directory of Open Access Journals (Sweden)

    Luciana Vasconcelos dos Santos Dantas Hodges

    2012-11-01

    Full Text Available A compreensão de um texto, por ser um processo dinâmico de construção de sentidos, se dá a partir de uma postura reflexiva e deliberada do leitor, que precisa fazer uso de diferentes estratégias para entender as informações explícitas no texto e inferir outras, além de integrá-las num todo coerente. Este artigo discute as estratégias de natureza metacognitiva que o leitor pode acessar antes, durante e/ou após a leitura de um texto, ressaltando que diferentes textos podem demandar o uso de diferentes estratégias, sendo necessário que o leitor tome decisões acerca de quais as mais adequadas para o tipo e gênero textual em questão, além das suas próprias expectativas, contexto de leitura e necessidade emergente. A literatura da área aponta que estratégias de leitura, incluindo as de natureza metacognitiva, que levam o indivíduo a refletir sobre o seu próprio pensamento, são eficazes em ajudar o aluno a desenvolver sua compreensão e superar dificuldades. Sendo assim, podem e devem ser ensinadas, pois este ensino é essencial para a formação de leitores autônomos, capazes de compreender diversos tipos de texto. Existem diversas estratégias metacognitivas descritas na literatura, e o presente artigo enfoca particularmente as estratégias de monitoramento, autoexplicações e justificativas, ressaltando a importância de que os professores conheçam, fomentem o uso e auxiliem no domínio de estratégias metacognitivas na compreensão de textos.Reading comprehension is a dynamic process of constructing meaning, and therefore is based on a deliberate, reflective posture from the reader, who needs to use different strategies to understand the information which is explicit in the text, to infer other information, and to integrate them coherently. This article discusses metacognitive strategies the reader can make use of before, during, and/or after reading a test, stressing that different types of text may require the use of

  18. Stock Prices, the Business Cycle and Contingent Change: Evidence from Bloomberg News Market Wraps

    OpenAIRE

    Nicholas Mangee

    2014-01-01

    This study provides evidence that stock market participants revise their forecasting strategies in response to macroeconomic news contingent on the state of the economy. This study utilizes Mangee (2011)'s novel dataset based on textual information contained in Bloomberg News's end-of-the-day stock market reports. A key finding is that macroeconomic news is reported to impact stock prices with a positive relation on some days and a negative one on others. The Bloomberg data show that, on aver...

  19. Early Bronze Age Houses in Upper Mesopotamia: Evidence of Dwellings or Private Enterprises?

    OpenAIRE

    Mas, Juliette

    2014-01-01

    This paper deals with the research I carried out on domestic architecture and private economy during Early Bronze Age in Upper-Mesopotamia. Archaeological records, as well as textual evidence, has been used to try to define private households activities and their relationships with official institutions. Households were the main source of production, distribution and consumption during the Early Bronze Age. As it seems that these private economic entities produced goods and crafts in their ow...

  20. On textual and contextual position of the ophthalmological treatise of bodhisattva nāgārjuna.

    Science.gov (United States)

    Kim, Seongsu; Kang, Sungyong

    2013-04-01

    regard. Thereafter, Tài píng shèng huì fāng (Holy Prescriptions for Universal Relief) compiled by a national agency at the beginning of the Song Dynasty period introduced Lóng shù pú sà yăn lùn without clear indication of the reference. Contemporary with this book, many ophthalmological books such as Mì chuán yăn kē lóng mù lùn(Longmu's Ophthalmology Secretly Handed Down) were published. As Chinese culture was spreading out into surrounding countries, medical knowledge was also introduced to Korean peninsula and Japan. The ophthalmological knowledge contained in Lóng shù pú sà yăn lùn was also reflected and some parts of it were introduced in I shin bō in Japan. Based on the policy decision of King Sejong, the fourth king of Joseon Dynasty, large scaled promoting projects of medical knowledge was established. It is notable that the Ui bang ryu chwi compiled as a result of the synthesis of the medical treatises available at that time initiated by King Sejong contained a considerable part of Lóng shù pú sà yăn lùn in reedited form that had already passed into oblivion in China. The intellectuals in Joseon Dynasty who participated in the compilation of Ui bang ryu chwi not only indicated that Lóng shù pú sà yăn lùn was a medical text published in the times of Wei-Qin and South & North Dynasties in China but also clearly indicated the textual reference and left the original text for later generation without modifying the contents. According to the Ui bang ryu chwi, the Lóng shù pú sà yăn lùn indicated that the core causes of eye diseases were heat, winds, and three body fluids(trido a) and contained the analyses of symptoms, related treatments, and several analyses of wrong treatments. In addition, Lóng shù pú sà yăn lùn explained diverse eye diseases through more than 30 medical treatments. In particular, this book accurately described golden needle acupuncture for treatment of a Nèi-zhàng understood to be cataract